Option 1 Northwest Enteral, Llc in Beaverton - Parenteral & Enteral Nutrition
Option 1 Northwest Enteral, Llc - NPI 1912101783
Option 1 Northwest Enteral, Llc is a Parenteral & Enteral Nutrition in Beaverton, Oregon. Option 1 Northwest Enteral, Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Option 1 Northwest Enteral, Llc is 1912101783. The last update date is 2023-09-08.
Option 1 Northwest Enteral, Llc's current location address is 7926 Sw Nimbus Ave, Beaverton, Oregon. You can contact this provider via phone number 8668831188 and fax number 5036246713. The mailing address for Option 1 Northwest Enteral, Llc is 7926 Sw Nimbus Ave, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Option 1 Northwest Enteral, Llc |
|---|---|
| Address | 7926 Sw Nimbus Ave, Beaverton, Oregon |
| Phone Number | 8668831188 |
| Fax Number | 5036246713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF LEGA |
|---|---|
| Authorized Official Name | Drake Shannon |
| Telephone Number | 4704648000 |
NPI Number Detail
| NPI Number | 1912101783 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2023-09-08 |
Provider Mailing Address Detail
| Address | 7926 Sw Nimbus Ave |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970086435 |
| Phone Number | 8668831188 |
| Fax Number | 5036246713 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 272405 | OR | -- |
Post Comment/ Review Below
What is the Option 1 Northwest Enteral, Llc's unique identification number?
The Option 1 Northwest Enteral, Llc has been assigned the NPI (National Provider Identifier) Number 1912101783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Option 1 Northwest Enteral, Llc is geographically located?
The Option 1 Northwest Enteral, Llc is physically situated at the following location: 7926 Sw Nimbus Ave, Beaverton, OR, 970086435.
What is Option 1 Northwest Enteral, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Option 1 Northwest Enteral, Llc's area of specialization is Parenteral & Enteral Nutrition, and the corresponding taxonomy code that categorizes this field of practice is 332Bp3500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912101783 to Option 1 Northwest Enteral, Llc?
The Centers for Medicare & Medicaid Services assigned the 1912101783 to Option 1 Northwest Enteral, Llc on 2007-06-13.
As of what date were the details related to Option 1 Northwest Enteral, Llc most recently updated or revised?
The information pertaining to Option 1 Northwest Enteral, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-08.
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