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Organization

NORCO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT SEWARD (EXECUTIVE VICE PRESIDENT, MEDICAL)
(208) 336-1643
Entity
Organization

Contact information

Practice address
2685 COMMERCIAL ST NE, SALEM, OR 97301-6502
(503) 378-1756
(503) 763-6242
Mailing address
1125 W AMITY RD, BOISE, ID 83705-5412
(208) 336-1643
(208) 343-4615

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500666794
OR
Enumeration date
06/06/2013
Last updated
03/28/2022
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