Provider Demographics
NPI:1487367678
Name:MICHELE R SAVAGE
Entity type:Organization
Organization Name:MICHELE R SAVAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:DURABLE MEDICAL EQUI
Authorized Official - Phone:541-225-5999
Mailing Address - Street 1:2260 NW STEWART PKWY
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-5544
Mailing Address - Country:US
Mailing Address - Phone:541-225-5999
Mailing Address - Fax:541-255-4261
Practice Address - Street 1:2260 NW STEWART PKWY
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-5544
Practice Address - Country:US
Practice Address - Phone:541-225-5999
Practice Address - Fax:541-255-4261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHELE R SAVAGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies