| NPI | 1124192000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL PRICE Dir Of Reimbursement 503-493-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |