| NPI | 1083798367 |
|---|---|
| Doing Business As | PACIFIC MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | THOMAS STEPHEN RUDDY Owner/President 503-585-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 1293539-0) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-10-11 |