Organization
STATESERV MEDICAL OF OREGON, LLC
Active
Parent organization
THE STATESERV COMPANIES LLC
Other names
StateServ Medical LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE STATESERV COMPANIES LLC
Authorized official
CHRISTOPHER ROODE (COO)
(877) 633-7250
Entity
Organization
Contact information
Practice address
26100 SW 95TH AVE, SUITE 200, WILSONVILLE, OR 97070
(503) 729-2371
(503) 598-9737
Mailing address
1201 S. ALMA SCHOOL ROAD, SUITE 4000, MESA, AZ 85210
(336) 227-8030
(336) 227-3288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
332BX2000X
Oxygen Equipment & Supplies (DME)
NPC-0003526
OR
Other
Enumeration date
09/30/2011
Last updated
10/21/2019
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