| NPI | 1447517610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK O'NEIL Owner 503-449-1096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 603172535) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |