Organization Active NPI

Genteel, LLC

  • Durable Medical Equipment & Medical Supplies
  • West Linn, OR
National Provider Identifier
1073080644
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENTEEL, LLC
Practice address
2904 Rawhide St
West Linn, OR 97068-2313
Phone
(503) 534-3107
Fax
(503) 675-0564
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Tawnya M Tate, CMPE
Title
Assistant to the Ceo
Phone
(503) 534-3107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2904 Rawhide St
West Linn, OR 97068-2313

Mailing address

333 S State St Ste V432
Lake Oswego, OR 97034-3932
Phone (503) 534-3107

National Provider Directory

National Provider Directory

Locations

333 S State St
Ste V432
Lake Oswego, OR 97034

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1073080644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STATE ST STE V432",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343932",
            "telephone_number": "503-534-3107",
            "fax_number": "503-675-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 RAWHIDE ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682313",
            "telephone_number": "503-534-3107",
            "fax_number": "503-675-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTEEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "TAWNYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSISTANT TO THE CEO",
        "authorized_official_telephone_number": "503-534-3107",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.