Organization Active NPI

Lane Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Beaverton, OR
National Provider Identifier
1912007980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LANE HOME MEDICAL
Practice address
3861 SW 117TH Ave
Beaverton, OR 97005-4779
Phone
(888) 795-4512
Fax
(888) 757-6762
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Terry W Coplin
Title
Ceo
Phone
(541) 485-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3861 SW 117TH Ave
Beaverton, OR 97005-4779

Mailing address

1014B Green Acres Rd
Eugene, OR 97408-6501
Phone (888) 795-4512

Other identifiers 1

IdentifierTypeStateIssuer
181499MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Lane Home Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3861 SW 117th Ave
Beaverton, OR 97005
Phone (888) 795-4512

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912007980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014B GREEN ACRES RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974086501",
            "telephone_number": "888-795-4512",
            "fax_number": "888-757-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 SW 117TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054779",
            "telephone_number": "888-795-4512",
            "fax_number": "888-757-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COPLIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-485-2155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181499",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.