Organization · Type 2 NPI

Stateserv Medical of Oregon, LLC

Durable Medical Equipment & Medical Supplies · Wilsonville, OR

NPI number 1013291657 Active

Practice location

26100 SW 95th Ave, Suite 200
Wilsonville, OR 97070

Call (503) 729-2371 Map

Fax (503) 598-9737

Mailing address

1201 S. Alma School Road, Suite 4000
Mesa, AZ 85210

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed
Oxygen Equipment & Supplies (DME)	332BX2000X	NPC-0003526 (OR)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other durable medical equipment & medical supplies providers in Wilsonville

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NPI record

NPI: 1013291657
Entity type: Organization (Type 2)
Issued: Sep 30, 2011
Last updated: Oct 21, 2019
Status: Active
Subpart: Yes of The Stateserv Companies LLC

Other names

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Stateserv Medical LLC · other name
Stateserv Medical LLC · other name

Authorized official

Christopher Roode
COO
(877) 633-7250

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013291657

Stateserv Medical of Oregon, LLC's National Provider Identifier is 1013291657, issued on Sep 30, 2011. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Wilsonville, OR. The record was last updated on Oct 21, 2019.