Organization
MULTI-MATERIAL IMPLANT, LLC
Active
Organization
MULTI-MATERIAL IMPLANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GRANT BRENNAN COF (PRESIDENT)
(503) 267-7955
Entity
Organization
Contact information
Practice address
7266 SW IRON HORSE ST, WILSONVILLE, OR 97070-8880
(503) 267-7955
(888) 361-0634
Mailing address
7266 SW IRON HORSE ST., ATT: MMI, WILSONVILLE, OR 97070
(502) 267-7955
(888) 361-0634
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
558368-95
OR
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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