| NPI | 1457517138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYATT JAMES BROWN Director Of Operation 503-699-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OR 1355445-0) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2012-04-03 |