| NPI | 1275667701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE A JANKE Certified Prosthetist Orthotist 503-252-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: OR NONE) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |