| NPI | 1093737900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZOUZ FATTOM President 503-267-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-06-25 |