| NPI | 1639233596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY VALINE Secretary 503-288-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OR NPC-0001476) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |