| NPI | 1831218767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L O'NEILL Owner 503-407-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 681350) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR 681350) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-11-01 |