| NPI | 1306051917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA M BRYANT Owner 541-883-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: OR RP-0000892-CS) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |