institution
Foothills Medical Supply, Llc
Oxygen Equipment & Supplies (DME) in Salem, Oregon
NPI 1285178210

Foothills Medical Supply, Llc is a Oxygen Equipment & Supplies (DME) based in Clackamas, OR and is specialized in Oxygen Equipment & Supplies. Foothills Medical Supply, Llc practices in Salem, OR. The NPI Number for Foothills Medical Supply, Llc is 1285178210 and holds a License No. 1687801-4 (Oregon).

The current practice location address for Foothills Medical Supply, Llc is 200 Hawthorne Ave Se Ste A130, Salem, OR and can be reached out via phone at 503-496-5239 and via fax at 503-343-6554.

Location: 200 Hawthorne Ave Se Ste A130, Salem, OR, 97015-5781
institution
Provider Profile Details
NPI Number
1285178210
Provider Name
Foothills Medical Supply, Llc
Credential
Provider Entity Type
Organization
Address
200 Hawthorne Ave Se Ste A130, Salem, OR, 97015-5781
Phone Number
503-496-5239
Fax Number
503-343-6554
Provider Enumeration Date
12/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115951 05 OR
1285178210 05 OR
institution
Provider Business Practice Location Address Details
Address
200 Hawthorne Ave Se Ste A130
City
State
Zip
97301-0074
Phone Number
503-496-5239
Fax Number
503-343-6554
person
Provider Business Mailing Address Details
Address
200 Hawthorne Ave Se Ste A130
City
State
Zip
97301-0074
Phone Number
503-496-5239
Fax Number
503-343-6554
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
1687801-4 (Oregon)
Definition
Definition to come...
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