Provider Demographics
NPI:1134417470
Name:LOUMAR MEDICAL EQUIPMENT CO
Entity type:Organization
Organization Name:LOUMAR MEDICAL EQUIPMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:MIHAELA
Authorized Official - Last Name:LOUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-746-4740
Mailing Address - Street 1:7980 SW CIRRUS DR # 13F
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-5942
Mailing Address - Country:US
Mailing Address - Phone:503-746-4740
Mailing Address - Fax:503-747-5067
Practice Address - Street 1:7980 SW CIRRUS DRIVE 13 F
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-5942
Practice Address - Country:US
Practice Address - Phone:503-746-4740
Practice Address - Fax:503-747-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR761200-97332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies