| NPI | 1417400052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID DONALSON President 503-584-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 1678438-4) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2017-04-19 |