| NPI | 1972906428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVA BAREWAL Owner 503-653-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR D8178) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |