| NPI | 1962411900 |
|---|---|
| Doing Business As | MAC MEDICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | NICOLE PATRICE WINNEN President 503-472-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2015-06-16 |