NPI | 1457354326 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYL S PRICE Director Of Reimbursement 503-493-8288 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 18-17166-0000) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CO 18-17166-0000) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2013-06-07 |