| NPI | 1083805436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEEVE KINYORO Director 503-210-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |