| NPI | 1124541776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNDREA JACOBS Director 503-384-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-03-17 |