Tri-Care Wheel Chair Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRI-CARE WHEEL CHAIR SERVICES INC

Practice address

432 SE 91St Ave
Portland, OR 97216-1630

Phone

(503) 267-2603

Fax

(503) 252-4246

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Mazouz Fattom

Title

President

Phone

(503) 267-2603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1093737900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 SE 91ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161630",
            "telephone_number": "503-267-2603",
            "fax_number": "503-252-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SE 91ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161630",
            "telephone_number": "503-267-2603",
            "fax_number": "503-252-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CARE WHEEL CHAIR SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FATTOM",
        "authorized_official_first_name": "MAZOUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-267-2603"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235117",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan W Trevino, LMT
• Marie Trevisan, OTR/L
• Sophia Treyger, LPC
• Susan Margaret Trezise
• TRG, LLC
• Regina Francesca Tricamo, MSW
• Krista Lynn Tricarico, N.D.
• Rayleah Trice
• Kari Ann Trickel, EFDA
• Trid Fitness

• Durable Medical Equipment & Medical Supplies in Portland, OR
• Providers in Portland, 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 Jun 25, 2008; 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.