| NPI | 1023503497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L O'NEILL Owner 503-407-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-10-30 |