| NPI | 1679571384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CARLETON VP Business Development 503-285-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 1167255-2) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA IMP 143710) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT MFG.UT.0001566.OR) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV UT1566 WV file#1968) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 14418) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 321) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK UT-1566-OR-O) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT UT 1566 (OR)) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |