MEDSTAR NW, LLC (NPI# 1669876173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669876173 |
| Entity Type | Organization |
| Organization Name | MEDSTAR NW, LLC |
| Practice Address |
14523 Westlake Dr Lake Oswego OR 97035-7700 |
| Practice Telephone | 5036168427 |
| Mailing Telephone | 5036168427 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | MR. WILLIAM THOMAS BOOTH (MANAGING PARTNER) |
| Authorized Official Telephone | 5036168427 |
| 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 | OR | Suppliers |
| Street Address |
14523 WESTLAKE DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247075 | David K White | Psychiatry & Neurology | 14523 Westlake Dr, Suite 8, Lake Oswego, OR 97035-7700 | 2005-12-27 |
| 1275132979 | Serendib Psychological Services, LLC | Psychologist | 14523 Westlake Dr, Lake Oswego, OR 97035-7700 | 2020-10-22 |
| 1689110868 | Portland Integrative Psychiatry | Nurse Practitioner | 14523 Westlake Dr, 4, Lake Oswego, OR 97035-7700 | 2017-01-12 |
| 1619411352 | Corinne Henderson | Social Worker | 14523 Westlake Dr, Suite 8, Lake Oswego, OR 97035-7700 | 2016-12-15 |
| 1952799637 | Jacqueline Bradford | Counselor | 14523 Westlake Dr, Suite 23, Lake Oswego, OR 97035-7700 | 2015-01-02 |
| 1912264870 | Elizabeth Hawkins | Psychologist | 14523 Westlake Dr, Lake Oswego, OR 97035-7700 | 2012-04-17 |
| 1063536258 | Johanna Courtleigh | Counselor | 14523 Westlake Dr, Lake Oswego, OR 97035-7700 | 2007-03-16 |
| 1275696098 | Garen Leeann Weitman | Psychologist | 14523 Westlake Dr, Lake Oswego, OR 97035-7700 | 2006-12-19 |
| 1164503462 | Mary Moffit | Psychologist | 14523 Westlake Dr, Lake Oswego, OR 97035-7700 | 2006-10-17 |
| 1235227240 | Gregg Steven Sashkin | Psychologist | 14523 Westlake Dr, Suite 11, Lake Oswego, OR 97035-7700 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| 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 |
|---|---|---|---|---|
| 1619487279 | True North Surgical Inc | Durable Medical Equipment & Medical Supplies | 19317 Lorna Ln, Lake Oswego, OR 97035-8036 | 2017-10-09 |
| 1245786235 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 5820 Jean Rd Ste 100, Lake Oswego, OR 97035-5304 | 2016-08-30 |
| 1194178137 | Bridgeworks Oregon | Durable Medical Equipment & Medical Supplies | 7021 Mcewan Rd, Lake Oswego, OR 97035-7830 | 2016-07-14 |
| 1174916043 | Biotronik, Inc. | Durable Medical Equipment & Medical Supplies | 6024 Jean Rd, Lake Oswego, OR 97035-5571 | 2015-03-16 |
| 1770924235 | Genesis Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 17394 Boones Ferry Rd, Lake Oswego, OR 97035-5218 | 2013-07-12 |
| 1336497312 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 17711 Jean Way, Lake Oswego, OR 97035-5305 | 2012-08-22 |
| 1326309279 | Northwest Mobility LLC | Durable Medical Equipment & Medical Supplies | 1405 Cherry Crest Ave, Lake Oswego, OR 97034-5932 | 2012-06-06 |
| 1396984977 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 5665 Sw Meadows Rd, Suite 100, Lake Oswego, OR 97035-3159 | 2009-02-05 |
| 1730298027 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 90 B Avenue, Lake Oswego, OR 97034-3131 | 2006-08-30 |
| 1629187919 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 16390 Boones Ferry Rd, Lake Oswego, OR 97035-4262 | 2006-08-30 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on MEDSTAR NW, LLC.
| 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.