CLACKAMAS MEDICAL SUPPLIES (NPI# 1003332669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003332669 |
| Entity Type | Organization |
| Organization Name | CLACKAMAS MEDICAL SUPPLIES |
| Practice Address |
2050 Beavercreek Rd. Ste 101-385 Oregon OR 97045 |
| Mailing Address |
2050 Beavercreek Rd Ste 101-385 Oregon City OR 97045-4301 |
| Practice Telephone | (844) 401-8920 |
| Mailing Telephone | 8444018920 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MUDASSIR RASHEED (ADMINISTRATOR) |
| Authorized Official Telephone | 8444018920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLACKAMAS MEDICAL SUPPLIES LLC | 3773 Howard Hughes Pkwy, Suite 500s, Las Vegas, NV 89169 |
| Street Address |
2050 BEAVERCREEK RD. STE 101-385 |
| City | OREGON |
| State | OR |
| Zip Code | 97045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| 1043685068 | Active Edge Physical Therapy, LLC | Physical Therapist | 19727 South Highway 213, Oregon City, OR 97045 | 2015-12-02 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720260516 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 3362 Navarre Avenue, Oregon, OH 43616-3314 | 2007-12-04 |
| 1659420057 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1725 S Wheeling St, Oregon, OH 43616-3962 | 2007-01-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| 1790790285 | Health II Ohio, LLC | Durable Medical Equipment & Medical Supplies | 3246 Navarre Ave, Oregon, OH 43616-3395 | 2006-07-31 |
| 1114944311 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3721 Navarre Ave, Oregon, OH 43616-3433 | 2006-07-16 |
| 1043235757 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1920 Woodville Rd, Oregon, OH 43616-3629 | 2006-07-13 |
| 1831123637 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3300 Navarre Ave, Oregon, OH 43616-3313 | 2006-07-10 |
| 1548644172 | Mercy Health Physicians-north LLC | Durable Medical Equipment & Medical Supplies | 1050 Isaac Streets Dr Ste 122, Oregon, OH 43616-3243 | 2015-07-14 |
| 1053651331 | Oregon Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 815 N Main St, Oregon, WI 53575 | 2013-02-22 |
| 1437329513 | James Optical Inc. | Durable Medical Equipment & Medical Supplies | 2737 Navarre Ave Ste 204, Oregon, OH 43616-3276 | 2008-03-05 |
| Find all providers in OREGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.