CARENET MEDICAL SUPPLY INC (NPI# 1104348887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104348887 |
| Entity Type | Organization |
| Organization Name | CARENET MEDICAL SUPPLY INC |
| Practice Address |
4020 Se International Way Ste C106 Milwaukie OR 97222-6068 |
| Mailing Address |
12425 Se River Rd Apt 18 Milwaukie OR 97222-8074 |
| Practice Telephone | 5039740348 |
| Practice Fax Number | 5039742212 |
| Mailing Telephone | 5039740347 |
| Mailing Fax Number | 5039742212 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | TIFFANY STAUDENMIER (OWNER) |
| Authorized Official Telephone | 5039740347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12425 Se River Rd Apt 18, Milwaukie, OR 972228074 | (503) 974-0347 | 5039742212 |
| Street Address |
4020 SE INTERNATIONAL WAY STE C106 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699144238 | Gregson Family Dentistry | Durable Medical Equipment & Medical Supplies | 17655 Se Mcloughlin Blvd, Milwaukie, OR 97267-5970 | 2015-09-24 |
| 1114355922 | Bellevue Healthcare II Inc. | Durable Medical Equipment & Medical Supplies | 3601 Se Concord Rd, Milwaukie, OR 97267-3909 | 2013-10-15 |
| 1750728440 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 15600 Se Mcloughlin Blvd, Milwaukie, OR 97267-3857 | 2013-06-04 |
| 1831464726 | Geneva Woods Pharmacy Washington, LLC | Durable Medical Equipment & Medical Supplies | 16250 Se Mcloughlin Blvd, Milwaukie, OR 97267-4657 | 2012-03-12 |
| 1326295080 | Keen Mobility Company | Durable Medical Equipment & Medical Supplies | 9510 Se Main St, Milwaukie, OR 97222-7413 | 2008-08-25 |
| 1245398098 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10903 Se Oak St, Milwaukie, OR 97222-6641 | 2006-12-05 |
| 1508941725 | Power Bed Sleep Center Inc | Durable Medical Equipment & Medical Supplies | 18125 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2006-10-26 |
| 1326054636 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 10860 Southeast Oak Street, Milwaukie Marketplace, Milwaukie, OR 97222-6694 | 2006-07-31 |
| 1043231020 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4320 Se King Rd, Milwaukie, OR 97222-5281 | 2006-07-22 |
| 1548291362 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 14840 Se Webster Rd, Milwaukie, OR 97267-3249 | 2006-07-06 |
| Find all providers in MILWAUKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.