Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Certicine Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1053788703

Certicine Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in LA Grande, Oregon. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Sunset Dr #B
LA Grande, OR 97850-1260
Phone: (949) 285-9796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X

Record details

NPI number1053788703
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPark Grande Holdings Ltd
Authorized official Brandon Slavik — Member · (949) 285-9796
NPI enumeratedAugust 28, 2015
Last updated in NPPESAugust 28, 2015
Mailing address5331 Sw Macadam Ave, 214, Portland, OR 97239-6104

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