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General NPI Number Information
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NPI Number | 1144493180
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Entity Type | Organization
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Legal Business Name | SYNERGY MEDICAL SYSTEMS INC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 500 S 336TH ST STE 109
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6389
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Country | US
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Telephone | 253-248-1470
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Fax | 253-835-3485
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Provider Business Mailing Address
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Address Line | 1710 WILLOW CREEK CIR STE 1
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City | EUGENE
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State | OR
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Zip | 97402-9192
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Country | US
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Telephone | 541-343-3758
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Fax | 541-343-3034
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN P BAUMGARTNER
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Credential |
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Telephone | 541-343-3758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 25801796
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License Number State | OR
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