Douglas Medical Equipment Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

500643-94 Issued in OR

Legal business name

DOUGLAS MEDICAL EQUIPMENT SUPPLY, LLC

Practice address

2674 Broadway St
North Bend, OR 97459-2214

Phone

(541) 756-9016

Fax

(541) 756-9017

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Michele E Torvik

Title

Abct Coo

Phone

(541) 464-4492

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1104203488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592214",
            "telephone_number": "541-756-9016",
            "fax_number": "541-756-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592214",
            "telephone_number": "541-756-9016",
            "fax_number": "541-756-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS MEDICAL EQUIPMENT SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "TORVIK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ABCT COO",
        "authorized_official_telephone_number": "541-464-4492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "500643-94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Diepenbroek, RDH LIMITED ACCESS
• Sarah Disney
• Nancy Jane Dooley, CPCHT
• Jacob Andrew Dougherty, MS, NCC
• Douglas Medical Equipment Supply
• Devyn Renee Downum
• Carissa Marrie Morningsong Doyle
• Shelly Jean Dubisar
• Eric James Ducey
• Shannon Loraine Durkee

• Durable Medical Equipment & Medical Supplies in North Bend, OR
• Providers in North Bend, 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 May 6, 2015; 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.