NORTHWEST MEDICAL, LLC. (NPI# 1770539603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770539603 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL, LLC. |
| Practice Address |
1010 Se Stark St Portland OR 97214 |
| Mailing Address |
2330 W Broadway Rd Ste 112 Mesa AZ 85202-1886 |
| Practice Telephone | 5032346219 |
| Practice Fax Number | 5032346521 |
| Mailing Telephone | 4808307700 |
| Mailing Fax Number | 4808307708 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | SHEILA ROBERSON (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4808307700 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREAT ELM DME INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848521 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 929 E Main Ste 330, Puyallup, WA 98372-3116 | 2015-07-31 |
| 1720329055 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 935 Town Centre Dr Ste 102, Medford, OR 97504-6172 | 2013-03-12 |
| 1902039373 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 1265 S Seward Meridian Pkwy Unit De, Wasilla, AK 99654-8351 | 2009-09-01 |
| 1619901162 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 280 Sw 43rd St Unit J, Renton, WA 98057-4936 | 2006-07-10 |
| 1033149000 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 5633 B St, Anchorage, AK 99518-1642 | 2006-07-04 |
| 1417987488 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 939 Harlow Rd Ste 120, Springfield, OR 97477-1190 | 2006-07-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST MEDICAL, LLC | 2330 W Broadway Rd Ste 107, Mesa, AZ 85202 |
| Washington State Corporations | NORTHWEST MEDICAL, LLC | 2330 W Broadway Rd Ste 107, Mesa, AZ 85202-1886 |
| Oklahoma Business Registrations | NORTHWEST MEDICAL, LLC | 1209 E Prospect Ave, Ponca City, OK 74601 |
| Street Address |
1010 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052151 | Hayley Marie Hall | Respiratory Therapist, Registered | 1010 Se Stark St, Portland, OR 97214-1336 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326882 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 10373 Ne Hancock St Ste 128, Portland, OR 97220-3873 | 2019-10-01 |
| 1285905042 | Schryver Medical Sales and Marketing, LLC | Durable Medical Equipment & Medical Supplies | 17744 Ne San Rafael St, Portland, OR 97230-5927 | 2012-01-25 |
| 1831289826 | Providence Health & Services - Oregon | Durable Medical Equipment & Medical Supplies | 6410 Ne Halsey St, Suite 500, Portland, OR 97213-4742 | 2006-10-13 |
| 1376556795 | Promptcare New England Respiratory | Durable Medical Equipment & Medical Supplies | 980 Forest Ave, Unit 202, Portland, ME 04103-3336 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817802 | Northwest Medical LLC | Durable Medical Equipment & Medical Supplies | 17933 Nw Evergreen Pl Ste 270, Beaverton, OR 97006-7532 | 2020-10-05 |
| 1649822636 | Todays Dme, Inc | Durable Medical Equipment & Medical Supplies | 1312 Redwood Ave, Grants Pass, OR 97527-5520 | 2019-07-10 |
| 1679070908 | Edm Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 2859 22nd St Se, Salem, OR 97302-1554 | 2018-04-12 |
| 1952761710 | Goose Lake Medical Services Inc | Durable Medical Equipment & Medical Supplies | 16 N F St, Lakeview, OR 97630-1528 | 2016-03-07 |
| 1437597978 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 2685 Commercial St Ne, Salem, OR 97301-6502 | 2013-06-06 |
| 1578908034 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 700 Bellevue St Se Ste. 120, Salem, OR 97301-3819 | 2013-05-09 |
| 1225473051 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 133 Ne Dunn Pl, Mcminnville, OR 97128-9081 | 2013-05-07 |
| 1235497710 | Lifestyle Hospice Foundation, Inc. | Durable Medical Equipment & Medical Supplies | 2390 Sw 4th Ave, Ontario, OR 97914-1852 | 2012-05-02 |
| 1013291657 | Stateserv Medical of Oregon, LLC | Durable Medical Equipment & Medical Supplies | 26100 Sw 95th Ave, Suite 200, Wilsonville, OR 97070 | 2011-09-30 |
| 1124346853 | 2nd Wind Sleep Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2296 Nw Kings Blvd, Ste. 101, Corvallis, OR 97330-3899 | 2010-05-05 |
| Find all providers with the same taxonomy | ||||
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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.