NPI 1528108511
Maverick Medical LLC
Practice location
- Address
- 28050 SW Boberg Rd, Wilsonville, OR 97070-7200
- Phone
- (503) 570-8782
Authorised official
- Name
- Aaron Younger
- Title
- Office Manager
- Phone
- (503) 570-8782
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1528108511
- Entity type
- Organization
- NPI issued
- 7 Feb 2007
- Record last updated
- 22 Aug 2020
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.