Organization
LANE HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY W COPLIN (CEO)
(541) 485-2155
Entity
Organization
Contact information
Practice address
3861 SW 117TH AVE, BEAVERTON, OR 97005-4779
(888) 795-4512
(888) 757-6762
Mailing address
1014B GREEN ACRES RD, EUGENE, OR 97408-6501
(888) 795-4512
(888) 757-6762
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181499
—
OR
Enumeration date
09/22/2006
Last updated
08/22/2020
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