| NPI | 1669245171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KOENIG COO 503-905-4102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |