Columbia Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLUMBIA MEDICAL SUPPLY, LLC

Practice address

20643 Noble LN
West Linn, OR 97068-7223

Phone

(971) 244-1096

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Shayne Miles

Title

Ceo

Phone

(971) 244-1069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1629341078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20643 NOBLE LN",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970687223",
            "telephone_number": "971-244-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20643 NOBLE LN",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970687223",
            "telephone_number": "971-244-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "SHAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-244-1069"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clunes Corporation
• Jeremy Cobb, D.D.S.
• Sarah E Colarchik, LMT
• Randall Chaney Coleman, M.D.
• Katherine Collinsworth, PT, DPT
• Gregory Lloyd Combs, M.D.
• Community Wellness Center
• Mary Frances Conedera, PMHNP
• Tyleen Marie Conrow, LMT
• Richard J. Cook, D.D.S.,M.S.D.

• Durable Medical Equipment & Medical Supplies in West Linn, OR
• Providers in West Linn, 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 15, 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.