| NPI | 1649356809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BISHOP Administrator 541-573-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 140704) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |