| NPI | 1447428594 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | CHRIS L COSTA Office Manager 541-779-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR DP00090) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-03-19 |