MEDIUS MEDICAL CONCEPTS, INC. (NPI# 1598908360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598908360 |
| Entity Type | Organization |
| Organization Name | MEDIUS MEDICAL CONCEPTS, INC. |
| Practice Address |
111 Sw 5th Ave Suite 1100 Portland OR 97204-3604 |
| Practice Telephone | 5034595500 |
| Practice Fax Number | 5034595515 |
| Mailing Telephone | 5034595500 |
| Mailing Fax Number | 5034595515 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-28 |
| Authorized Official Name | MR. GERALD M HAGAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 5034595500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
111 SW 5TH AVE SUITE 1100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366985483 | Braincare, LLC | Physiological Laboratory | 111 Sw 5th Ave, Ste 3150 (unit 3142), Portland, OR 97204-3604 | 2016-11-21 |
| 1649558677 | Gniewosz Paul Kolba | Counselor | 111 Sw 5th Ave, Suite 3150, Portland, OR 97204-3604 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| 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 |
|---|---|---|---|---|
| 1730794181 | Wound Pros Oregon | Durable Medical Equipment & Medical Supplies | 10260 Sw Greenburg Road 4th Floor, Portland, OR 97223-5500 | 2020-09-12 |
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1508417247 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 165 Lancaster St Ste P, Portland, ME 04101-2406 | 2019-09-24 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 1841753050 | Regional Home Care Inc. | Durable Medical Equipment & Medical Supplies | 190 Riverside St Unit 2b, Portland, ME 04103-1073 | 2019-04-14 |
| 1154889137 | Julie Marie Conaway | Durable Medical Equipment & Medical Supplies | 1302 Wildcat Dr, Portland, TX 78374-2812 | 2019-03-08 |
| 1225503188 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3036 Ne Martin Luther King Jr Blvd Ste 136, Portland, OR 97212-3053 | 2018-10-08 |
| 1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
| Find all providers in PORTLAND | ||||
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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.