| NPI | 1396539631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SWANSON President 971-334-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |