| NPI | 1013214014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYATT JAMES BROWN Director Of Operation 503-699-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2012-08-14 |