Organization
MAVERICK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AARON YOUNGER (OFFICE MANAGER)
(503) 570-8782
Entity
Organization
Contact information
Practice address
28050 SW BOBERG RD, WILSONVILLE, OR 97070-7200
(503) 570-8782
Mailing address
28050 SW BOBERG RD, WILSONVILLE, OR 97070-7200
(503) 570-8782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00004582
OR
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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