| NPI | 1437314242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JEAN FREDRICKSON President 503-391-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 1345970-4) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2012-02-10 |