Organization
PAUL E. GERVAIS
Active
Other names
Medical Supply of Central Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL E GERVAIS (OWNER)
(541) 504-7700
Entity
Organization
Contact information
Practice address
356 SW 6TH ST, REDMOND, OR 97756-2201
(541) 504-7700
(541) 504-9170
Mailing address
356 SW 6TH ST, REDMOND, OR 97756-2201
(541) 504-7700
(541) 504-9170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269868
—
OR
01
—
68560
COIHS
OR
Enumeration date
09/25/2006
Last updated
08/22/2020
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