Provider Demographics
NPI:1346483468
Name:O KONCEPTS, LLC
Entity Type:Organization
Organization Name:O KONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DALENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-478-2890
Mailing Address - Street 1:1125 ROOT RD
Mailing Address - Street 2:
Mailing Address - City:MOSIER
Mailing Address - State:OR
Mailing Address - Zip Code:97040-9776
Mailing Address - Country:US
Mailing Address - Phone:541-478-2890
Mailing Address - Fax:949-266-8394
Practice Address - Street 1:1125 ROOT RD
Practice Address - Street 2:
Practice Address - City:MOSIER
Practice Address - State:OR
Practice Address - Zip Code:97040-9776
Practice Address - Country:US
Practice Address - Phone:541-478-2890
Practice Address - Fax:949-266-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR462947-99332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies