| NPI | 1518375757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PHILLIPS Operations Manager 503-740-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |