| NPI | 1417190042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE SKINNER President 503-982-2238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |