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HEALTHCARE MEDICAL SUPPLY
NPI 1396014064
Durable Medical Equipment & Medical Supplies in Portland, OR

Active since December 23, 2011
4000 SE 82ND AVE, SUITE 1500, PORTLAND, OR 97266(503) 772-5333(503) 772-5366 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthcare Medical Supply NPPES

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

HEALTHCARE MEDICAL SUPPLY (NPI 1396014064) is a healthcare organization registered as a durable medical equipment & medical supplies in Portland, Oregon and active in the NPI registry since December 2011. The organization lists Pavel Foksha, President, as its authorized official.

NPPES Registry Identity

NPI1396014064
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHEALTHCARE MEDICAL SUPPLY
Location Address4000 SE 82ND AVE, SUITE 1500Portland, OR 97266-2924
Mailing Address4000 Se 82nd Ave, Suite 1500Portland, OR 97266 · (503) 772-5333 · Fax (503) 772-5366
Phone(503) 772-5333
Fax(503) 772-5366
Organization SubpartNo
Authorized OfficialPavel FokshaPresident · (503) 772-5333
Enumeration DateDecember 23, 2011
✔ NPI 1396014064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in OR · 653593
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.
4000 SE 82ND AVE, Portland, OR 97266
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Other Identifiers 1

Medicaid274628OR

Other Providers at the Same Location NPPES

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

PAVEL FOKSHA
Durable Medical Equipment & Medical Supplies
4000 SE 82ND AVE, SUITE 1500
PORTLAND, OR 97266
Multnomah County (503) 772-5333

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 Healthcare Medical Supply's NPI number?

The NPI number for Healthcare Medical Supply is 1396014064. It was assigned to this organization in the NPPES registry on December 23, 2011.

Where is Healthcare Medical Supply located?

Healthcare Medical Supply is located at 4000 SE 82nd Ave Suite 1500, Portland, OR 97266. The listed phone number is (503) 772-5333.

What is Healthcare Medical Supply'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 Healthcare Medical Supply was last updated on December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.