NPI 1700076585

Ye Olde Cobbler

Organisation Customized Equipment (DME) Wilsonville, OR

Practice location

Address: 30605 SW Magnolia Ave, Wilsonville, OR 97070-6757
Phone: (503) 682-0354
Mailing address: PO Box 482, Wilsonville, OR 97070-0482

Authorised official

Name: Richard a Filonczuk
Title: Owner/ Operator
Phone: (503) 682-0354

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Oregon →

Registry record

NPI: 1700076585
Entity type: Organization
NPI issued: 27 Jul 2007
Record last updated: 17 Jan 2008

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.