| NPI | 1376713339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LEE TUCKER President 503-867-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |