| NPI | 1790701258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L. CUMMINS Owner 541-382-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 07-00000460) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-07-25 |