| NPI | 1932279684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL S PRICE Director Of Reimbursement 503-493-8288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-05-01 |