| NPI | 1811332471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFFRON GUSTAFSON Owner 541-505-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 1375773-0) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |