| NPI | 1477680569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY J CLARKE Owner 541-963-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR DP00283) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-03-10 |