| NPI | 1174793137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W PETERSON Managing Partner 360-491-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2016-12-01 |