| NPI | 1295856920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD S STEVENS VP Finance Treasurer 541-768-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: CO 4193950) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-05-07 |