Quickmed Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUICKMED SUPPLY INC

Practice address

2608 NE Sandy Blvd
Portland, OR 97232-2342

Phone

(503) 232-1868

Fax

(503) 232-1867

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Amiran Abukov

Title

President

Phone

(503) 232-1868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1871657247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322342",
            "telephone_number": "503-232-1868",
            "fax_number": "503-232-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322342",
            "telephone_number": "503-232-1868",
            "fax_number": "503-232-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKMED SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ABUKOV",
        "authorized_official_first_name": "AMIRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-232-1868"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 16, 2007; 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.