Urodry LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1345970-4 Issued in OR

Legal business name

URODRY LLC

Practice address

1211 Edgewater St. NW
Suite 2
Salem, OR 97304-4073

Phone

(503) 391-7132

Fax

(503) 296-5855

NPI assigned

Jul 21, 2008

Last updated

Feb 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Karen Jean Fredrickson

Title

President

Phone

(503) 391-7132

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1437314242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 EDGEWATER ST. N.W.",
            "address_2": "SUITE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044073",
            "telephone_number": "503-391-7132",
            "fax_number": "503-296-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 EDGEWATER ST. NW",
            "address_2": "SUITE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044073",
            "telephone_number": "503-391-7132",
            "fax_number": "503-296-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URODRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "FREDRICKSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-391-7132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "1345970-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles Jacob Urwyler, MSW, QMHP
• Meagan Usselman
• Amber Vaca, PA-C
• Mara Evelyn Vahlenkamp, CF-SLP

• Durable Medical Equipment & Medical Supplies in Salem, OR
• Providers in Salem, 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 Feb 10, 2012; 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.