| NPI | 1023530508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY L CRARY Authorized Offical 360-254-6161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |