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Organization

TUALITY MEDICAL EQUIPMENT AND SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY BRENNAN PHILLIPS (ASST. DIRECTOR DME)
(503) 740-7052
Entity
Organization

Contact information

Practice address
372 SE 6TH AVE STE 201, HILLSBORO, OR 97123-4284
(503) 681-1658
(503) 681-1652
Mailing address
160 W MAIN STREET EXT STE 900, HILLSBORO, OR 97123-3741
(503) 681-1658
(503) 681-1652

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
WI 0001325
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210435
OR
Enumeration date
11/07/2006
Last updated
10/24/2023
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