| NPI | 1376913301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GREGORY Owner 503-344-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 2008974) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2019-06-11 |