Medrock, INC.
Durable Medical Equipment & Medical Supplies in Portland, OR. Organization (NPI-2).
NPI number1679907976
StatusActive
Last updated in NPPESAug 23, 2013
Details
- NPI
- 1679907976
- Entity type
- Organization (NPI-2)
- Legal business name
- Medrock, INC.
- Organization subpart
- No
- Enumeration date
- Aug 23, 2013
- Last updated
- Aug 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
6812 N Missouri AvePortland, OR 97217-1648
Phone 503-719-7775
Mailing address
Po Box 40266Portland, OR 97240-0266
Phone 503-719-7775
Authorized official
Tony Rocklin
President
5037197775
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