Active NPI
Western Health Resources
- Durable Medical Equipment & Medical Supplies
- Portland, OR
National Provider Identifier
1003213240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WESTERN HEALTH RESOURCES
- Practice address
- 5835 NE 122ND Ave Ste 155
Portland, OR 97230-1085 - Phone
- (503) 261-6070
- NPI assigned
- Dec 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Wiedemann, CPA
- Title
- Controller
- Phone
- (916) 780-2480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5835 NE 122ND Ave Ste 155
Portland, OR 97230-1085
Mailing address
2100 Douglas Blvd
Roseville, CA 95661-3804
Phone (916) 780-2480
Other names 1
- ADVENTIST HEALTH DME - PORTLAND
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417564800000",
"number": "1003213240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DOUGLAS BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613804",
"telephone_number": "916-780-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 NE 122ND AVE STE 155",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972301085",
"telephone_number": "503-261-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN HEALTH RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A",
"authorized_official_last_name": "WIEDEMANN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "916-780-2480",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADVENTIST HEALTH DME - PORTLAND",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.