Medrock, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDROCK, INC.

Practice address

6812 N Missouri Ave
Portland, OR 97217-1648

Phone

(503) 719-7775

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Tony Rocklin

Title

President

Phone

(503) 719-7775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1679907976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40266",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972400266",
            "telephone_number": "503-719-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 N MISSOURI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171648",
            "telephone_number": "503-719-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDROCK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "ROCKLIN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-719-7775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A Medley
• Joseph Anthony Medlin, D.C.
• Cynthia Medrano, PMHNP, FNP
• Leslie Margaret Ann Medrano
• Zachary Medress
• Medsurg Pathology Associates PC
• Medsurg Pathology Associates PC
• Eva Medvedova, M.D.
• Kathleen M Medwar, FNP
• Jacqueline Mee

• Durable Medical Equipment & Medical Supplies in Portland, OR
• Providers in Portland, 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 Aug 23, 2013; 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.