Provider Demographics
NPI:1023789351
Name:COLUMBIA-INLAND CORPORATION
Entity type:Organization
Organization Name:COLUMBIA-INLAND CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WILDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-730-6577
Mailing Address - Street 1:PO BOX 231177
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97281
Mailing Address - Country:US
Mailing Address - Phone:503-443-6708
Mailing Address - Fax:503-598-0321
Practice Address - Street 1:7160 SW FIR LOOP SUITE 201A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-443-6708
Practice Address - Fax:503-598-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies