| NPI | 1477185619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE EDDY Owner 503-949-7143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 305S00000X Point of Service |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |