Provider Demographics
NPI:1275682387
Name:BEDMART, INC
Entity Type:Organization
Organization Name:BEDMART, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:F
Authorized Official - Last Name:DOHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:503-546-3306
Mailing Address - Street 1:13151 NE AIRPORT WAY
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-1036
Mailing Address - Country:US
Mailing Address - Phone:503-546-3306
Mailing Address - Fax:503-255-7502
Practice Address - Street 1:13151 NE AIRPORT WAY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-1036
Practice Address - Country:US
Practice Address - Phone:503-546-3306
Practice Address - Fax:503-255-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies