Healthcare Provider Details
I. General information
NPI: 1326119132
Provider Name (Legal Business Name): CARE MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2006
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3430 PACIFIC AVE SE SUITE A5
OLYMPIA WA
98501-2176
US
IV. Provider business mailing address
509 NE HANCOCK ST
PORTLAND OR
97212-3914
US
V. Phone/Fax
- Phone: 360-459-1520
- Fax: 360-570-5774
- Phone: 503-288-8174
- Fax: 503-335-9148
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELENE
ADLER
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 503-288-8174