Go Mo, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GO MO, LLC

Practice address

627 SE Jackson St
Roseburg, OR 97470

Phone

(541) 957-1150

NPI assigned

Jun 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martha Bradley

Title

Owner

Phone

(541) 957-1150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Merle Norman Cosmetics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063932960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 SE JACKSON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704935",
            "telephone_number": "541-957-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 SE JACKSON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97470",
            "telephone_number": "541-957-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO MO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-957-1150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRY NUMBER",
            "identifier": "601284-86",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merle Norman Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merle Norman Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richelle Gix
• Timothy F Gladding Jr., MD
• David Glaser, MD
• Anthony Lee Glassman, MD
• Kivonna Gleghorn
• Amy Lee Goddard, PT
• Brian M Godey
• Scott O Goebel, PA-C
• Tawnie Goetz-Kennedy
• Aubrey Goetzke

• Durable Medical Equipment & Medical Supplies in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.