Medstar Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDSTAR INC

Practice address

11830 Kerr Pkwy
Suite 370
Lake Oswego, OR 97035-1223

Phone

(877) 778-8873

Fax

(866) 474-3686

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence S Black

Title

President

Phone

(877) 778-8873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1316067614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 KERR PKWY",
            "address_2": "SUITE 370",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351223",
            "telephone_number": "877-778-8873",
            "fax_number": "866-474-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 KERR PKWY",
            "address_2": "SUITE 370",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351223",
            "telephone_number": "877-778-8873",
            "fax_number": "866-474-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-778-8873"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Eric McNally, D.C.
• Kathleen Alison McNamara, LCSW
• Marissa McPhail
• Robin McVay
• Corina Medina
• Medstar NW, LLC
• Carolyn R Meisner, PT, DPT
• Theresa L Mele, RN
• Kenneth Paul Melvin, MD
• Anne Waterman Meneakis, LCSW

• Durable Medical Equipment & Medical Supplies in Lake Oswego, OR
• Providers in Lake Oswego, 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 Oct 11, 2007; 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.