| NPI | 1730695370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADNAN TALIB Administrator 503-728-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |