Organization · Type 2 NPI
Option 1 Northwest Enteral, LLC
Parenteral & Enteral Nutrition Supplies (DME) · Beaverton, OR
NPI number
1912101783
Active
Practice location
7926 SW Nimbus Ave, Suite 8-D
Beaverton, OR 97008-6435
Fax (503) 624-6713
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | None listed |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
About NPI 1912101783
Option 1 Northwest Enteral, LLC's National Provider Identifier is 1912101783, issued on Jun 13, 2007. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Beaverton, OR. The record was last updated on Jan 27, 2025.