Organization
CHIENKU SUPPLY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BONAVENTURE SEMI CHIENKU (PRESIDENT)
(503) 954-3907
Entity
Organization
Contact information
Practice address
7425 SE 159TH PL, PORTLAND, OR 97236-4890
(503) 954-3907
Mailing address
7425 SE 159TH PL, PORTLAND, OR 97236-4890
(503) 954-3907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
86547495
OR
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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