| NPI | 1720299258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE AHEARN Owner 541-688-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 988571) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: OR 988571) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |