| Organization Name: | ORBIT MEDICAL OF PORTLAND INC DBA TIBRO MEDICAL |
| NPI Number: | 1508895459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID S CHARLES (PRESIDENT) |
| Mailing Address: | 9847 S 500 W Ste 200 Sandy |
| State: | UT US |
| Postal Code: | 840702561 |
| Phone Number: | 8012555202 |
| Fax Number: | 8014659998 |
| NPI Enumeration Date: | 07/02/2006 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 717096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |