| NPI | 1669838470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RICHARD JOHANSEN COO 503-780-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |