Certicine Medical Supply LLC

NPI #1053788703 in La Grande, Oregon

Provider Information

NPI Number
1053788703
Entity Type
Organization
Organization Name
Certicine Medical Supply LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PARK GRANDE HOLDINGS LTD
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Aug 28, 2015
Last Updated
Aug 28, 2015

Practice Location

Address
700 SUNSET DR
Address 2
#B
State
Oregon
ZIP Code
97850-1260
Phone
(949) 285-9796

Authorized Official

Name
MR. BRANDON SLAVIK
Title
MEMBER
Phone
(949) 285-9796

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & SuppliesOxygen Equipment & Supplies
Durable Medical Equipment & Medical Supplies

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