Organization
CARENET MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY STAUDENMIER (OWNER)
(503) 974-0347
Entity
Organization
Contact information
Practice address
4020 SE INTERNATIONAL WAY STE C106, MILWAUKIE, OR 97222-6068
(503) 974-0348
(503) 974-2212
Mailing address
12425 SE RIVER RD APT 18, MILWAUKIE, OR 97222-8074
(503) 974-0347
(503) 974-2212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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