| NPI | 1003944042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG STEPHEN FAUSEL CEO President 503-963-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 160412) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-03-25 |