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Ye Olde Cobbler
Customized Equipment (DME) in Wilsonville, Oregon
NPI 1700076585

Ye Olde Cobbler is a Customized Equipment (DME) based in Wilsonville, OR and is specialized in Customized Equipment. Ye Olde Cobbler practices in Wilsonville, OR. The NPI Number for Ye Olde Cobbler is 1700076585 and holds a License No. (Oregon).

The current practice location address for Ye Olde Cobbler is 30605 Sw Magnolia Ave, Wilsonville, OR and can be reached out via phone at 503-682-0354.

Location: 30605 Sw Magnolia Ave, Wilsonville, OR, 97070-0482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700076585
Provider Name
Ye Olde Cobbler
Credential
Provider Entity Type
Organization
Address
30605 Sw Magnolia Ave, Wilsonville, OR, 97070-0482
Phone Number
503-682-0354
Fax Number
Provider Enumeration Date
07/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
160655 05 OR
institution
Provider Business Practice Location Address Details
Address
30605 Sw Magnolia Ave
City
Wilsonville
State
Oregon
Zip
97070-6757
Phone Number
503-682-0354
Fax Number
person
Provider Business Mailing Address Details
Address
30605 Sw Magnolia Ave
City
Wilsonville
State
Oregon
Zip
97070-6757
Phone Number
503-682-0354
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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