| NPI | 1265554984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOREST RAY SEXTON Director 541-734-2435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NA) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-11-15 |