person
Pavel Foksha
Durable Medical Equipment & Medical Supplies in Portland, Oregon
NPI 1396871083

Pavel Foksha is a Durable Medical Equipment & Medical Supplies based in Portland, OR. Pavel Foksha practices in Portland, OR. The NPI Number for Pavel Foksha is 1396871083 and holds a License No. 653593 (Oregon).

The current practice location address for Pavel Foksha is 4000 Se 82Nd Ave, Portland, OR and can be reached out via phone at 503-772-5333 and via fax at 503-772-5366.

Location: 4000 Se 82Nd Ave, Portland, OR, 97266-2924
person
Provider Profile Details
NPI Number
1396871083
Provider Name
Pavel Foksha
Credential
Provider Entity Type
Individual
Gender
Male
Address
4000 Se 82Nd Ave, Portland, OR, 97266-2924
Phone Number
503-772-5333
Fax Number
503-772-5366
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274628 05 OR
institution
Provider Business Practice Location Address Details
Address
4000 Se 82Nd Ave
City
State
Zip
97266-2924
Phone Number
503-772-5333
Fax Number
503-772-5366
person
Provider Business Mailing Address Details
Address
4000 Se 82Nd Ave
City
State
Zip
97266-2924
Phone Number
503-772-5333
Fax Number
503-772-5366
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
653593 (Oregon)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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