| NPI | 1326277617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LANE DAVIS Founder/CEO 503-277-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR 553632-96) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |