| NPI | 1841226974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MACKEY Credentialng/Contracting 503-648-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-01-21 |