| NPI | 1134417470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA MIHAELA LOUKA Owner 503-746-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 761200-97) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2012-05-15 |