| NPI | 1750889572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BALDWIN Chief Operating Officer 971-301-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-29 |