OrganizationActive
Option 1 Northwest Enteral, LLC
NPI 1912101783 · Parenteral & Enteral Nutrition Supplies (DME) · Beaverton, OR
Provider details
- NPI number
- 1912101783
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Matthew Buckhalter, Cfo(470) 464-8000
Specialties & taxonomies
Suppliers
Practice location
7926 Sw Nimbus Ave
Suite 8-D
Beaverton, OR 97008-6435
Phone: (866) 883-1188
Fax: (503) 624-6713
Approximate (ZIP-level) locationGet directions
Mailing address
400 Interstate North Pkwy Se Ste 1600
Atlanta, GA 30339-5047
Other names (DBA / former)
- Doing business as
- Aveanna Healthcare Medical Solutions
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.