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NPI 1306044623 · Durable Medical Equipment & Medical Supplies · Portland, OR
Provider details
- NPI number
- 1306044623
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Alexandr Shcherbakov, Owner(503) 224-7999
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1418 Sw Morrison St
Portland, OR 97205-1911
Phone: (503) 224-7999
Fax: (503) 224-8222
Street-level locationGet directions
Mailing address
1418 Sw Morrison St
Portland, OR 97205-1911
Registry dates
- Enumerated
- 2007-07-08
- Last updated
- 2008-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.