Organization
BOUNDLESS ASSISTIVE TECHNOLOGY, LLC
Active
Other names
Boundless AT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL TRIF (MEMBER)
(503) 828-1221
Entity
Organization
Contact information
Practice address
7490 SW BRIDGEPORT RD, PORTLAND, OR 97224
(503) 828-1221
(503) 821-6355
Mailing address
7490 SW BRIDGEPORT RD, PORTLAND, OR 97224
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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