| NPI | 1700076585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A FILONCZUK Owner/ Operator 503-682-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2008-01-17 |