Organization
OREGON HEALTHCARE RESOURCES LLC
Active
Other names
Oregon Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA A. SHETER (SUPPORT SERVICES MANAGER)
(541) 687-4900
Entity
Organization
Contact information
Practice address
4135 QUEST DR, EUGENE, OR 97402-8768
(541) 461-8006
(541) 683-2197
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 687-4900
(541) 687-4904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6501380001
DME PTAN
OR
Enumeration date
03/31/2011
Last updated
10/04/2011
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