Organization
BOICE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA DYE (PRODUCT CONSULTANT)
(503) 380-5434
Entity
Organization
Contact information
Practice address
1125 NW 9TH AVE APT 221, PORTLAND, OR 97209-2866
(503) 914-1979
(503) 974-9051
Mailing address
1125 NW 9TH AVE APT 221, PORTLAND, OR 97209-2866
(503) 914-1979
(503) 974-9041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
363860-92
OR
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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