| NPI | 1861569410 |
|---|---|
| Doing Business As | JAYS WIDE SHOES |
| Entity Type | Organization |
| Authorized Contact | ALAN BARTHOLD Owner 503-641-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-05-06 |