| NPI | 1275784001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PAUL BAUMGARTNER President 541-343-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 258017-96) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2022-06-16 |