| NPI | 1366759599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L TABOR President And CFO 503-590-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR 099071-97) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 099071-97) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |