The Scooter Store - Portland, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE SCOOTER STORE - PORTLAND, LLC

Practice address

4779 Airway Dr
Unit #100
Medford, OR 97502-3606

Phone

(503) 682-3031

NPI assigned

Oct 22, 2012

Organization subpart

Yes

Parent organization

THE SCOOTER STORE - USA, INC.As reported in NPPES

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

Authorized official

Name

Jason Cone

Title

General Counsel & Secretary

Phone

(830) 627-4433

Specialties & licenses 1

Addresses

Other names 1

• Alliance Seating & Mobility Doing business as

Locations

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1760735203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 INDEPENDENCE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323832",
            "telephone_number": "830-626-5600",
            "fax_number": "800-688-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4779 AIRWAY DR",
            "address_2": "UNIT #100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975023606",
            "telephone_number": "503-682-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SCOOTER STORE - PORTLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SCOOTER STORE - USA, INC.",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "830-627-4433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Seating & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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