| NPI | 1396174694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GLEN OLIVER President 503-371-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR 1569794-3) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |