| NPI | 1467967372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HIGDON Owner 503-227-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |