Organization
NORTHWEST MEDICAL, LLC.
Active
Parent organization
GREAT ELM HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT ELM HEALTHCARE, LLC
Authorized official
GREGORY J CRAWFORD (PRESIDENT)
(859) 441-8876
Entity
Organization
Contact information
Practice address
14200 SE 98TH, #100, CLACKAMAS, OR 97015-6615
(503) 234-6219
(503) 234-6521
Mailing address
2330 W BROADWAY RD STE 107, MESA, AZ 85202-1886
(480) 830-7700
(480) 750-2000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
01/26/2023
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