| NPI | 1215471909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY L MONDEAUX Executive Director 503-332-0436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OR 542742-96) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: OR 542742-96) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2020-04-22 |