| NPI | 1316012768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA JEAN SCHWAB Manager 503-233-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-06-16 |