Organization
FOOTHILLS MEDICAL SUPPLY, LLC
Active
Other names
SleepTech CPAP Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA D LANCE (COO)
(503) 496-5239
Entity
Organization
Contact information
Practice address
200 HAWTHORNE AVE SE STE A130, SALEM, OR 97301-0074
(503) 496-5239
(503) 343-6554
Mailing address
8440 SE SUNNYBROOK BLVD STE 208, CLACKAMAS, OR 97015-5781
(503) 496-5239
(503) 343-6554
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1687801-4
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115951
—
OR
05
—
1285178210
—
OR
Enumeration date
12/09/2016
Last updated
01/30/2024
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