Organization
URODRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAREN JEAN FREDRICKSON (PRESIDENT)
(503) 391-7132
Entity
Organization
Contact information
Practice address
1211 EDGEWATER ST. NW, SUITE 2, SALEM, OR 97304-4073
(503) 391-7132
(503) 296-5855
Mailing address
1211 EDGEWATER ST. N.W., SUITE 2, SALEM, OR 97304-4073
(503) 391-7132
(503) 296-5855
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1345970-4
OR
332B00000X
Durable Medical Equipment & Medical Supplies
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Other
Enumeration date
07/21/2008
Last updated
02/10/2012
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