| NPI | 1013086594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BRENNAN PHILLIPS Asst. Director Dme 503-740-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OR WI 0001325) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-10-24 |