Organization
GENTEEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWNYA M TATE CMPE (ASSISTANT TO THE CEO)
(503) 534-3107
Entity
Organization
Contact information
Practice address
2904 RAWHIDE ST, WEST LINN, OR 97068-2313
(503) 534-3107
(503) 675-0564
Mailing address
333 S STATE ST STE V432, LAKE OSWEGO, OR 97034-3932
(503) 534-3107
(503) 675-0564
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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