| NPI | 1770598526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN EDWARD MORGAN Manager 503-982-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 313656-95) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |