| NPI | 1518425693 |
|---|---|
| Other Name | PROVIDENCE HOME MEDICAL EQUIPMENT-CORVALLIS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2025-05-15 |