Provider Demographics
NPI:1689004418
Name:NW EQUIPMENT EXCHANGE
Entity Type:Organization
Organization Name:NW EQUIPMENT EXCHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-721-4929
Mailing Address - Street 1:4213 ALBERT CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-7250
Mailing Address - Country:US
Mailing Address - Phone:503-477-6997
Mailing Address - Fax:503-719-6971
Practice Address - Street 1:10117 SE SUNNYSIDE RD
Practice Address - Street 2:STE F734
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-7708
Practice Address - Country:US
Practice Address - Phone:503-477-6997
Practice Address - Fax:503-719-6971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies