OrganizationActive
Autonomic Innovations, LLC
NPI 1669838470 · Durable Medical Equipment & Medical Supplies · Tualatin, OR
Provider details
- NPI number
- 1669838470
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Robert Johansen, Coo
Practice location
6464 Sw Borland Rd
Ste C3
Tualatin, OR 97062-8876
Phone: (971) 252-6411
Fax: (971) 252-6412
Mailing address
6464 Sw Borland Rd
Tualatin, OR 97062-8876
Registry dates
- Enumerated
- 2016-01-08
- Last updated
- 2016-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.