Option 1 Northwest Enteral, LLC

NPI #1912101783 in Beaverton, Oregon

Provider Information

NPI Number: 1912101783
Entity Type: Organization
Organization Name: Option 1 Northwest Enteral, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date: Jun 13, 2007
Last Updated: Jan 27, 2025

Practice Location

Address: 7926 SW NIMBUS AVE
Address 2: SUITE 8-D
City: Beaverton
State: Oregon
ZIP Code: 97008-6435
Phone: (866) 883-1188

Authorized Official

Name: MATTHEW BUCKHALTER
Title: CFO
Phone: (470) 464-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X	Primary

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