| NPI | 1639436447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTIS M DOERR Owner 541-603-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 1457716-6) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |