Organization
PARKO INC
Active
Other names
MAC MEDICAL SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE PATRICE WINNEN R.PH. (PRESIDENT)
(503) 472-2147
Entity
Organization
Contact information
Practice address
228 NE 3RD ST, MCMINNVILLE, OR 97128-4819
(503) 472-2147
(503) 437-9206
Mailing address
228 NE 3RD ST, MCMINNVILLE, OR 97128-4819
(503) 472-2147
(503) 437-9206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269216
—
OR
Enumeration date
08/07/2006
Last updated
06/16/2015
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