Keen Mobility Company

LBN: Keen Mobility Company
Keen Mobility Company is an health care organization with primary practice located at 733 Sw Oak St Suite 200, Portland OR 97205-3712. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Keen Mobility Company can be contacted via phone (503) 285-9090, or through Carleton, Jerry via phone (503) 285-9090.

Contact Information

Primary practice address
733 Sw Oak St Suite 200 Portland OR 97205-3712
Fax: (503) 223-9488
Website:
Authorized official contact:
Name: Carleton, Jerry

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1167255-2 Oregon
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X IMP 143710 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MFG.UT.0001566.OR Connecticut
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X UT1566 WV FILE#1968 West Virginia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 14418 Virginia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 321 North Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X UT-1566-OR-O Oklahoma
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X UT 1566 (OR) Utah

Profile Details

NPI number 1679571384
LBN Legal business name Keen Mobility Company
DBA Doing business as
Authorized official Carleton, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679571384 NPPES
Oregon MEDICAID 233141
Oregon MEDICAID 9055716

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