Scooter Store - Portland LLC

NPI #1588686620 in Wilsonville, Oregon

Provider Information

NPI Number
1588686620
Entity Type
Organization
Organization Name
Scooter Store - Portland LLC
Subpart
Yes (part of a larger organization)
Parent Organization
THE SCOOTER STORE - USA, INC.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 25, 2006
Last Updated
Aug 9, 2013

Practice Location

Address
25589 SW CANYON CREEK RD
Address 2
STE 800
State
Oregon
ZIP Code
97070-8897
Phone
(503) 682-3031

Authorized Official

Name
JASON CONE
Title
GENERAL COUNSEL & SECRETARY
Phone
(830) 627-4433

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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