Whalio Doctors

NPI 1013291657

Stateserv Medical of Oregon, LLC

Organisation Durable Medical Equipment & Medical Supplies Wilsonville, OR

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
Suppliers Taxonomy 332B00000X
Oxygen Equipment & Supplies (DME)
Suppliers Taxonomy 332BX2000X Licence NPC-0003526 (OR)

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.