| NPI | 1154455830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE W THOMPSON General Manager 360-532-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 600404826) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 600404826) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WA 600404826) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 600404826) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-05-15 |