NPI 1013291657
Stateserv Medical of Oregon, LLC
Practice location
- Address
- 26100 SW 95th Ave Suite 200, Wilsonville, OR 97070
- Phone
- (503) 729-2371
- Fax
- (503) 598-9737
- Mailing address
- 1201 S. Alma School Road Suite 4000, Mesa, AZ 85210
Authorised official
- Name
- Christopher Roode
- Title
- Coo
- Phone
- (877) 633-7250
Registered specialties (2)
Durable Medical Equipment & Medical Supplies
Primary
Oxygen Equipment & Supplies (DME)
Registry record
- NPI
- 1013291657
- Entity type
- Organization
- NPI issued
- 30 Sep 2011
- Record last updated
- 21 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.