Organization
COLUMBIA MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNE MILES (CEO)
(971) 244-1069
Entity
Organization
Contact information
Practice address
20643 NOBLE LN, WEST LINN, OR 97068-7223
(971) 244-1096
Mailing address
20643 NOBLE LN, WEST LINN, OR 97068-7223
(971) 244-1096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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