| NPI | 1730557836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE J BURGESS Owner 541-508-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 16-00013653) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2016-03-01 |