MEDICARE: RIDGELINE MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1356298640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDGELINE MEDICAL, LLC

Provider Business Mailing Address
First Line	:	1920 WOODSON LOOP
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-7019
Country	:	US
Telephone Number	:	541-321-8511
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 WOODSON LOOP
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-7019
Country	:	US
Telephone Number	:	541-321-8511
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID DIMARCO
Credential	:
Telephone Number	:	541-335-1358

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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Directions to “RIDGELINE MEDICAL, LLC ” Practice Location

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