| NPI | 1164418505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL S PRICE Director Of Reimbursement 503-493-8288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2010-08-18 |