| NPI | 1053500157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI LEANN GRIZZELL-SCOTT President 503-930-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |