Unimedcorner

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNIMEDCORNER

Practice address

1418 SW Morrison St
Portland, OR 97205-1911

Phone

(503) 224-7999

Fax

(503) 224-8222

NPI assigned

Jul 8, 2007

Organization subpart

No

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

Authorized official

Name

Alexandr Shcherbakov

Title

Owner

Phone

(503) 224-7999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1306044623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 SW MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051911",
            "telephone_number": "503-224-7999",
            "fax_number": "503-224-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 SW MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051911",
            "telephone_number": "503-224-7999",
            "fax_number": "503-224-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIMEDCORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-08",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "SHCHERBAKOV",
        "authorized_official_first_name": "ALEXANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-224-7999"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.