Organization
ORBIT MEDICAL OF PORTLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GALLUP (PRESIDENT)
(801) 713-2020
Entity
Organization
Contact information
Practice address
10150 SW NIMBUS AVE, SUITE E-5, PORTLAND, OR 97223-4337
(801) 713-2020
Mailing address
716 E 4500 S, SUITE 260 S, SALT LAKE CITY, UT 84107-3080
(801) 713-2020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
628389-91
OR
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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