| NPI | 1932345063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE WILSON Prisident/Sales & Repair Tech 541-951-2845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 09-00025290) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |