Healthcare Provider Details

I. General information

NPI: 1972632735
Provider Name (Legal Business Name): ARETE NW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 E POWELL BLVD
GRESHAM OR
97030-8003
US

IV. Provider business mailing address

6263 N SCOTTSDALE RD SUITE 395
SCOTTSDALE AZ
85250-5406
US

V. Phone/Fax

Practice location:
  • Phone: 503-465-9414
  • Fax:
Mailing address:
  • Phone: 480-282-6500
  • Fax:

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: ANTHONY BAUMANN
Title or Position: PRESIDENT
Credential:
Phone: 480-282-6500