Organization
MEDIUS MEDICAL CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD M HAGAN (PRESIDENT/CEO)
(503) 459-5500
Entity
Organization
Contact information
Practice address
111 SW 5TH AVE, SUITE 1100, PORTLAND, OR 97204-3604
(503) 459-5500
(503) 459-5515
Mailing address
111 SW 5TH AVE, SUITE 1100, PORTLAND, OR 97204-3604
(503) 459-5500
(503) 459-5515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/09/2009
Last updated
04/28/2009
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