Healthcare Provider Details

I. General information

NPI: 1316863152
Provider Name (Legal Business Name): HR SUPPLIES AND SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10416 NE OAKBROOK CIR APT H
VANCOUVER WA
98662-7662
US

IV. Provider business mailing address

10416 NE OAKBROOK CIR APT H
VANCOUVER WA
98662-7662
US

V. Phone/Fax

Practice location:
  • Phone: 443-537-0938
  • Fax:
Mailing address:
  • Phone: 443-537-0938
  • 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: SHYAM KOMMUKURI
Title or Position: MANAGING DIRECTOR
Credential: DR
Phone: 443-537-0938