NPIMap

Organization Active NPI

PDX Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
National Provider Identifier
1982880738
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
663332 Issued in OR
Legal business name
PDX MEDICAL SUPPLY
Practice address
8044 SE Harold St
Portland, OR 97206-5148
Phone
(503) 777-9996
Fax
(503) 777-9996
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. Dragosh G Postevka
Title
Owner
Phone
(503) 777-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 663332 OR Primary

Addresses

Primary practice location

8044 SE Harold St
Portland, OR 97206-5148

Mailing address

8044 SE Harold St
Portland, OR 97206-5148
Phone (503) 777-9996

National Provider Directory

National Provider Directory

Locations

8044 SE Harold St
Portland, OR 97206
Phone (503) 777-9996

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1982880738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 SE HAROLD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065148",
            "telephone_number": "503-777-9996",
            "fax_number": "503-777-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 SE HAROLD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065148",
            "telephone_number": "503-777-9996",
            "fax_number": "503-777-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDX MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "POSTEVKA",
        "authorized_official_first_name": "DRAGOSH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-777-9996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "663332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.