Organization Active NPI

Douglas Medical Equipment Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Roseburg, OR
National Provider Identifier
1457520041
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
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
1813 W. Harvard Ave
Ste 212
Roseburg, OR 97471
Phone
(541) 229-4530
Fax
(541) 229-4532
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Michele Torvik, M.B.A.
Title
C.O.O.
Phone
(541) 464-4492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 500643-94 OR Primary

Addresses

Primary practice location

1813 W. Harvard Ave
Ste 212
Roseburg, OR 97471

Mailing address

1813 W. Harvard Ave
Ste 212
Roseburg, OR 97471
Phone (541) 229-4530

National Provider Directory

National Provider Directory

Locations

1813 W Harvard Ave
Ste 212
Roseburg, OR 97471
Phone (541) 229-4530

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1457520041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W. HARVARD AVE",
            "address_2": "STE 212",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-229-4530",
            "fax_number": "541-229-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W. HARVARD AVE",
            "address_2": "STE 212",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-229-4530",
            "fax_number": "541-229-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS MEDICAL EQUIPMENT SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "TORVIK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "541-464-4492",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "500643-94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

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