| NPI | 1154324168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL S PRICE Director Of Reimbursement 503-493-8288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 0537672-0003) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CO 05-37672-0003) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-02-15 |