OrganizationActive
Healthcare Medical Supply
NPI 1396014064 · Durable Medical Equipment & Medical Supplies · Portland, OR
Provider details
- NPI number
- 1396014064
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Pavel Foksha, President(503) 772-5333
- License
- 653593 (OR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4000 Se 82nd Ave
Suite 1500
Portland, OR 97266-2924
Phone: (503) 772-5333
Fax: (503) 772-5366
Street-level locationGet directions
Mailing address
4000 Se 82nd Ave
Portland, OR 97266
Registry dates
- Enumerated
- 2011-12-23
- Last updated
- 2011-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.