| NPI | 1306044623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDR SHCHERBAKOV Owner 503-224-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2008-01-18 |