180 MEDICAL, INC. (NPI# 1831504984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831504984 |
| Entity Type | Organization |
| Organization Name | 180 MEDICAL, INC. |
| Practice Address |
7869 Sw Nimbus Ave Space 29-e Beaverton OR 97008-6404 |
| Mailing Address |
8516 Nw Expressway Oklahoma City OK 73162-6010 |
| Practice Telephone | 5036439600 |
| Practice Fax Number | 8887180633 |
| Mailing Telephone | 8776882729 |
| Mailing Fax Number | 8887180633 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MR. JEFFERY B HENDRIX (CFO) |
| Authorized Official Telephone | 4054432985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NPC-0004269 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500695545 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518426204 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5756 W 74th Street, Bldg 112, Indianapolis, IN 46278-1755 | 2019-03-13 |
| 1841785888 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5324 W Reno Ave Ste A, Oklahoma City, OK 73127-6359 | 2018-06-22 |
| 1831563238 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5620 San Francisco Rd Ne Ste A, Albuquerque, NM 87109-4656 | 2015-11-23 |
| 1326327115 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9050 Parkhill St, Lenexa, KS 66215-3536 | 2011-08-10 |
| 1538452628 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5175 Elmore Rd, Suite 18, Memphis, TN 38134-5629 | 2011-05-23 |
| 1609104736 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2830 Horace Shepard Dr, Suite 2, Dothan, AL 36303-1007 | 2009-12-01 |
| 1902134570 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | N8w22195 Johnson Dr, Suite 100, Waukesha, WI 53186 | 2009-11-19 |
| 1265760920 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 717 Atando Ave, Suite J, Charlotte, NC 28206-1915 | 2009-11-18 |
| 1073841730 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 10707 Mockingbird Dr, Omaha, NE 68127-1941 | 2009-11-18 |
| 1356678478 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12649 E Caley Ave, Suite 120, Centennial, CO 80111-6477 | 2009-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | 180 MEDICAL, INC. | 80 State Street, Albany, Ny 12207 |
| Connecticut Business Registrations | 180 MEDICAL, INC. | 5324 West Reno, Suite A, Oklahoma City, OK 73127 |
| Iowa Business Entities | 180 MEDICAL, INC. | 8516 Nw Expressway, Oklahoma City, OK 73162 |
| Vermont Business Registrations | 180 MEDICAL, INC. | 8516 Nw Expressway, Oklahoma City, OK 73162 |
| Oregon Corporations, Companies and Business Names | 180 MEDICAL, INC. | 8516 Nw Expressway, Oklahoma City, OK 73162 |
| Indiana Business Entities | 180 MEDICAL, INC. | 5324 West Reno, Suite A, Oklahoma City, OK 73127-6359 |
| Street Address |
7869 SW NIMBUS AVE SPACE 29-E |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-6404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| 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 |
|---|---|---|---|---|
| 1912418609 | Oregon Orthotic Services, Inc | Durable Medical Equipment & Medical Supplies | 8880 Sw Nimbus Ave Ste A, Beaverton, OR 97008-7111 | 2017-10-20 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1912312729 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 18470 Sw Farmington Rd, Beaverton, OR 97007-3809 | 2014-07-01 |
| 1396010674 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 17275 Nw Cornell Rd, Beaverton, OR 97006-3297 | 2012-03-20 |
| 1134417470 | Loumar Medical Equipment Co | Durable Medical Equipment & Medical Supplies | 7980 Sw Cirrus Drive 13 F, Beaverton, OR 97008-5942 | 2011-07-20 |
| 1093024242 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 15390 Nw Cornell Rd, Suite 230, Beaverton, OR 97006 | 2010-10-05 |
| 1932375672 | Barts Shoe Corp | Durable Medical Equipment & Medical Supplies | 4037 Sw 117th Ave, Suite J, Beaverton, OR 97005-8900 | 2008-05-02 |
| 1093890071 | Accessible Solutions Elevator& Lift LLC. | Durable Medical Equipment & Medical Supplies | 8250 Sw Nimbus Ave Bldg 3, Beaverton, OR 97008-6443 | 2006-10-26 |
| 1912007980 | Lane Home Medical | Durable Medical Equipment & Medical Supplies | 3861 Sw 117th Ave, Beaverton, OR 97005-4779 | 2006-09-22 |
| 1770692055 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 12575 Southwest Walker Road, Beaverton, OR 97005-1306 | 2006-08-30 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on 180 MEDICAL, INC..
| 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.