Ye Olde Cobbler
Customized Equipment
30605 Sw Magnolia Ave, Wilsonville
Oregon, 97070-6757
503-682-0354 Ye Olde Cobbler is a Customized Equipment in Wilsonville, Oregon. It is located at 30605 Sw Magnolia Ave, Wilsonville and it's customer support contact number is 503-682-0354. The authorized person of Ye Olde Cobbler is Richard A Filonczuk who is Owner/ Operator of this DME and his contact number is 503-682-0354.
Ye Olde Cobbler is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Ye Olde Cobbler type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Ye Olde Cobbler |
| Type: | Customized Equipment |
| Location: | 30605 Sw Magnolia Ave, Wilsonville,
Oregon, 97070-6757 |
| Phone: | 503-682-0354 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Richard A Filonczuk |
| Position: | Owner/ Operator |
| Contact Number: | 503-682-0354 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1700076585 |
| NPI Enumeration Date: | 27 Jul, 2007 |
| NPI Last Update On: | 17 Jan, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ye Olde Cobbler are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 160655 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 482,
Wilsonville, Oregon |
| Zip: | 97070-0482 |
| Phone Number: | 503-682-0354 |
Patients can reach Ye Olde Cobbler at
30605 Sw Magnolia Ave, Wilsonville, Oregon or can
call on customer care at 503-682-0354.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.