Provider Demographics
NPI:1851466643
Name:JUST LIKE A WOMAN
Entity type:Organization
Organization Name:JUST LIKE A WOMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGY
Authorized Official - Middle Name:J
Authorized Official - Last Name:IMLAY
Authorized Official - Suffix:
Authorized Official - Credentials:BOC, CMF
Authorized Official - Phone:503-246-7000
Mailing Address - Street 1:6333 SW MACADAM AVE
Mailing Address - Street 2:102
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3656
Mailing Address - Country:US
Mailing Address - Phone:503-246-7000
Mailing Address - Fax:503-246-7020
Practice Address - Street 1:6333 SW MACADAM AVE
Practice Address - Street 2:102
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3656
Practice Address - Country:US
Practice Address - Phone:503-246-7000
Practice Address - Fax:503-246-7020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR230012Medicaid
OR230012Medicaid