Organization
GLASRIDGE VENTURES, LLC
Active
Other names
Bear Creek Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT DAVIS (OWNER)
(541) 929-4834
Entity
Organization
Contact information
Practice address
902 APPLEGATE ST, PHILOMATH, OR 97370-9439
(541) 929-4834
(541) 929-4836
Mailing address
PO BOX 1359, CORVALLIS, OR 97339-1359
(541) 929-4834
(541) 929-4836
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182484
—
OR
Enumeration date
06/13/2005
Last updated
08/22/2020
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