Medify Supply LLC
Durable Medical Equipment & Medical Supplies in Camas, WA. Organization (NPI-2).
NPI number1336728401
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1336728401
- Entity type
- Organization (NPI-2)
- Legal business name
- Medify Supply LLC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2021
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
2417 Nw Iris CtCamas, WA 98607-5001
Phone 503-522-0424
Mailing address
2417 Nw Iris CtCamas, WA 98607-5001
Phone 503-522-0424
Authorized official
Matthew Matsuura
Member
5035220424
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