| NPI | 1528575339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KOONING Owner 503-675-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR D9420) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |