| NPI | 1881260032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE S MCLAUGHLIN Manager 503-550-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |