| NPI | 1205207073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI T MCCAMMON Administrator 503-667-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OR 335E00000X) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 332BC3200X) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |