Organization
ALPHADRY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB ISSAC CANTRELL (PRESIDENT)
(503) 522-8078
Entity
Organization
Contact information
Practice address
1211 EDGEWATER ST NW, SUITE 2, SALEM, OR 97304-4073
(503) 375-9193
(503) 296-5855
Mailing address
1211 EDGEWATER ST NW, SUITE 2, SALEM, OR 97304-4073
(503) 375-9193
(503) 296-5855
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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