AUTONOMIC INNOVATIONS, LLC (NPI# 1669838470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669838470 |
| Entity Type | Organization |
| Organization Name | AUTONOMIC INNOVATIONS, LLC |
| Practice Address |
6464 Sw Borland Rd Ste C3 Tualatin OR 97062-8876 |
| Practice Telephone | 9712526411 |
| Practice Fax Number | 9712526412 |
| Mailing Telephone | 9712526411 |
| Mailing Fax Number | 9712526412 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Authorized Official Name | MR. ROBERT RICHARD JOHANSEN (COO) |
| Authorized Official Telephone | 5037809221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AUTONOMIC INNOVATIONS, LLC | 6464 Sw Borland Rd Suite C-3, Tualatin, OR 97062 |
| Street Address |
6464 SW BORLAND RD STE C3 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-8876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891668 | Cascade Spine Center, LLC | Clinic/Center | 6464 Sw Borland Rd, Bldg A Ste A-3, Tualatin, OR 97062-8876 | 2005-06-17 |
| 1346527728 | Tammy Leigh Wilson | Physician Assistant | 6464 Sw Borland Rd, Suite C-4, Tualatin, OR 97062-8876 | 2011-11-13 |
| 1457580623 | Donald R Olson, Md, Facs, LLC | Specialist | 6464 Sw Borland Rd, Suite A2, Tualatin, OR 97062-8876 | 2009-07-09 |
| 1235371485 | Frank S. Rosenbloom, M.d. PC | Internal Medicine | 6464 Sw Borland Rd, Suite B2, Tualatin, OR 97062-8876 | 2009-04-02 |
| 1639310774 | Keith Leland Ironside Jr. | Specialist | 6464 Sw Borland Rd, Suite B2, Tualatin, OR 97062-8876 | 2009-03-19 |
| 1487873097 | Charles Herbert Doolittle IIi | Internal Medicine | 6464 Sw Borland Rd, Suite C-5, Tualatin, OR 97062-8876 | 2007-04-24 |
| 1043341167 | Deborah Ann Cherachanko | Chiropractor | 6464 Sw Borland Rd, Suite A-2, Tualatin, OR 97062-8876 | 2007-03-08 |
| 1790812097 | Paul Stephen Kane | Physical Therapist | 6464 Sw Borland Rd, Suite B5, Tualatin, OR 97062-8876 | 2007-02-27 |
| 1407995277 | Gary Owings | Pharmacist | 6464 Sw Borland Rd, B3, Tualatin, OR 97062 | 2007-02-06 |
| 1659425767 | Center Pharmacy & Sterile Products Inc | Pharmacy | 6464 Sw Borland Rd, Suite B3, Tualatin, OR 97062 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| 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 |
|---|---|---|---|---|
| 1689115636 | Tualatin Medical Suppplies | Durable Medical Equipment & Medical Supplies | 8215 Sw Tualatin Sherwood Rd Ste 200, Tualatin, OR 97062-8620 | 2017-03-09 |
| 1407936958 | Hill-rom Company Inc | Durable Medical Equipment & Medical Supplies | 19360 Sw 90th Court, Tualatin, OR 97062-7503 | 2006-10-17 |
| 1437253747 | Kkrueger Corporation | Durable Medical Equipment & Medical Supplies | 19195 Sw Teton Ave, Tualatin, OR 97062-8858 | 2006-09-08 |
| 1801034863 | Wellpartner, L.L.C. | Durable Medical Equipment & Medical Supplies | 20800 Sw 115th Ave, Suite 100, Tualatin, OR 97062-6863 | 2009-01-29 |
| 1356325583 | Wellpartner, L.L.C. | Durable Medical Equipment & Medical Supplies | 20800 Sw 115th Ave, Ste 100, Tualatin, OR 97062 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959272 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 281 Laclair St Rm 135, Coos Bay, OR 97420-2988 | 2020-10-14 |
| 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 |
| 1902423676 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 Se Court Pl Ste P, Pendleton, OR 97801-3281 | 2020-06-29 |
| 1851914618 | Bellevue Healthcare II Inc | Durable Medical Equipment & Medical Supplies | 61580 American Ln, Bend, OR 97702-9792 | 2020-05-27 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1790335073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 621 W Madrone St Ste P1, Roseburg, OR 97470-3090 | 2019-09-18 |
| 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 |
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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.