| NPI | 1134777691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNE MARIE GLOVER Business Manager 503-674-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |