Organization
KING OSTOMY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE SUE KING (OFFICE MANAGER)
(541) 345-0391
Entity
Organization
Contact information
Practice address
431 W 13TH AVE, EUGENE, OR 97401-6203
(541) 345-0391
Mailing address
431 W 13TH AVE, EUGENE, OR 97401-6203
(541) 345-0391
(541) 345-0392
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226290
—
OR
Enumeration date
06/12/2006
Last updated
05/18/2012
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