Healthcare Provider Details

I. General information

NPI: 1750741807
Provider Name (Legal Business Name): K REMEDY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2016
Last Update Date: 03/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 NW PROFESSIONAL DR SUITE 201
CORVALLIS OR
97330-3891
US

IV. Provider business mailing address

2211 NW PROFESSIONAL DR SUITE 201
CORVALLIS OR
97330-3891
US

V. Phone/Fax

Practice location:
  • Phone: 185-572-2551
  • Fax: 541-230-1189
Mailing address:
  • Phone: 185-572-2551
  • Fax: 541-230-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL ANDREW MAY
Title or Position: COO/CMO
Credential: M.D
Phone: 541-740-2537