NPI | 1124892831 |
---|---|
Doing Business As | CORVALLIS CLINIC ASBURY DME ONLY |
Entity Type | Organization |
Authorized Contact | JAMES KAECH Chief Executive Officer 541-754-1374 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-11-13 |
Last Update Date | 2024-01-25 |