| NPI | 1356779623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG KLASS Director 971-340-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 07-0978) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |