Organization
KEEN MOBILITY COMPANY
Active
Other names
Keen Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAIL HORTON (CEO)
(503) 285-9090
Entity
Organization
Contact information
Practice address
9510 SE MAIN ST, MILWAUKIE, OR 97222-7413
(503) 847-2020
(888) 624-7890
Mailing address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(503) 847-2020
(888) 624-7890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
667119
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571193
—
AK
05
—
233141
—
OR
05
—
9055716
—
WA
Enumeration date
06/09/2015
Last updated
07/13/2015
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