Healthcare Provider Details

I. General information

NPI: 1407788490
Provider Name (Legal Business Name): OREGON MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20001 SW TUALATIN VALLEY HWY
BEAVERTON OR
97003-2300
US

IV. Provider business mailing address

11685 SW NICOLI PL
TIGARD OR
97224-2746
US

V. Phone/Fax

Practice location:
  • Phone: 971-777-5277
  • Fax: 833-222-8117
Mailing address:
  • Phone: 971-777-5277
  • Fax: 833-222-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MAHDI KHANBABAZADEH
Title or Position: OWNER & MANAGING MEMBER
Credential: DC
Phone: 971-777-5277