| NPI | 1053758037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PETLOW President 206-660-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |