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CERTICINE MEDICAL SUPPLY LLC
NPI 1053788703
Durable Medical Equipment & Medical Supplies in La Grande, OR

Active since August 28, 2015
700 SUNSET DR, #B, LA GRANDE, OR 97850(949) 285-9796 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Certicine Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CERTICINE MEDICAL SUPPLY LLC (NPI 1053788703) is a healthcare organization registered as a durable medical equipment & medical supplies in La Grande, Oregon and active in the NPI registry since August 2015. The organization lists Brandon Slavik, Member, as its authorized official.

NPPES Registry Identity

NPI1053788703
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCERTICINE MEDICAL SUPPLY LLC
Location Address700 SUNSET DR, #BLa Grande, OR 97850-1260
Mailing Address5331 Sw Macadam Ave, #214Portland, OR 97239-6104
Phone(949) 285-9796
Organization SubpartYesParent: Park Grande Holdings Ltd
Authorized OfficialBrandon SlavikMember · (949) 285-9796
Enumeration DateAugust 28, 2015
✔ NPI 1053788703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X
700 SUNSET DR, La Grande, OR 97850
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGG S DENSMORE M.D.
Orthopaedic Surgery
700 SUNSET DR, STE F
LA GRANDE, OR 97850
Union County (541) 963-8578
PACIFIC SLEEP MEDICINE SERVICES, INC.
Durable Medical Equipment & Medical Supplies
700 SUNSET DR, SUITE C
LA GRANDE, OR 97850
Union County (541) 963-2428
NORTHEAST OREGON PHYSICAL THERAPY
Physical Therapist
700 SUNSET DR, STE B
LA GRANDE, OR 97850
Union County (541) 963-9340
OREGON SLEEP SPECIALIST SERVICES
Durable Medical Equipment & Medical Supplies
700 SUNSET DR, SUITE B
LA GRANDE, OR 97850
Union County (866) 285-4245
VICKI HILL BROWN RN, FNP-C
Nurse Practitioner (Family)
700 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 963-8421
DR. MARK ANDREW ALDAPE MD
Pathology (Anatomic Pathology & Clinical Pathology)
700 SUNSET DR, SUITE A
LA GRANDE, OR 97850
Union County (541) 963-8911
DR. PAMELA M MCWHIRTER DNP, FNP
Nurse Practitioner (Family)
700 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 663-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Certicine Medical Supply LLC's NPI number?

The NPI number for Certicine Medical Supply LLC is 1053788703. It was assigned to this organization in the NPPES registry on August 28, 2015.

Where is Certicine Medical Supply LLC located?

Certicine Medical Supply LLC is located at 700 Sunset Dr #b, La Grande, OR 97850. The listed phone number is (949) 285-9796.

What is Certicine Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Certicine Medical Supply LLC was last updated on August 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.