Organization
MEDSTAR INC
Active
Organization
MEDSTAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE S BLACK (PRESIDENT)
(877) 778-8873
Entity
Organization
Contact information
Practice address
11830 KERR PKWY, SUITE 370, LAKE OSWEGO, OR 97035-1223
(877) 778-8873
(866) 474-3686
Mailing address
11830 KERR PKWY, SUITE 370, LAKE OSWEGO, OR 97035-1223
(877) 778-8873
(866) 474-3686
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
Other
Enumeration date
03/30/2007
Last updated
10/11/2007
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