Organization
FREEDOM MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL W. PAUL (PRESIDENT)
(541) 672-3592
Entity
Organization
Contact information
Practice address
2620 E BARNETT RD, STE. K, MEDFORD, OR 97504-8383
(541) 245-6199
(541) 672-4284
Mailing address
1658 DEL RIO RD, ROSEBURG, OR 97470-9557
(541) 672-3592
(541) 672-4284
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230753
—
OR
01
—
710267
LIPA OHP HMO
OR
Enumeration date
08/02/2005
Last updated
08/22/2020
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