Multi-Material Implant, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

558368-95 Issued in OR

Legal business name

MULTI-MATERIAL IMPLANT, LLC

Practice address

7266 SW Iron Horse St
Wilsonville, OR 97070-8880

Phone

(503) 267-7955

Fax

(888) 361-0634

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William Grant Brennan, COF

Title

President

Phone

(503) 267-7955

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1548405301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7266 SW IRON HORSE ST.",
            "address_2": "ATT: MMI",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "97070",
            "telephone_number": "502-267-7955",
            "fax_number": "888-361-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7266 SW IRON HORSE ST",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708880",
            "telephone_number": "503-267-7955",
            "fax_number": "888-361-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-MATERIAL IMPLANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-267-7955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "558368-95",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Morgan
• Emily Morrow
• Amy Leeann Moulden
• Abigail Muller
• Melinda R Mulligan, O.T.
• Amber Marie Mulvey, LCSW
• Jessica Kele Kathleen Murdin, PT
• Brian Murphy
• Kelsey Murphy, DPT
• Karen Nagao, OTR/L

• Durable Medical Equipment & Medical Supplies in Wilsonville, OR
• Providers in Wilsonville, 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 Dec 9, 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.