# NORTHWEST MEDICAL, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREAT ELM HEALTHCARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770539603
- **Legal business name:** GREAT ELM HEALTHCARE, LLC
- **Authorized official:** GREGORY J CRAWFORD (PRESIDENT)
- **Authorized official phone:** (859) 441-8876

## Contact information

- **Practice address:** 14200 SE 98TH, \#100, CLACKAMAS, OR 97015-6615
- **Practice address phone:** (503) 234-6219
- **Practice address fax:** (503) 234-6521
- **Mailing address:** 2330 W BROADWAY RD STE 107, MESA, AZ 85202-1886
- **Mailing address phone:** (480) 830-7700
- **Mailing address fax:** (480) 750-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 01/26/2023