Organization
TRI-CARE WHEEL CHAIR SERVICES INC
Active
Organization
TRI-CARE WHEEL CHAIR SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZOUZ FATTOM (PRESIDENT)
(503) 267-2603
Entity
Organization
Contact information
Practice address
432 SE 91ST AVE, PORTLAND, OR 97216-1630
(503) 267-2603
(503) 252-4246
Mailing address
432 SE 91ST AVE, PORTLAND, OR 97216-1630
(503) 267-2603
(503) 252-4246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235117
—
OR
Enumeration date
07/24/2006
Last updated
06/25/2008
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