| NPI | 1295149334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB A LEWIS CFO 206-919-6578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR D8230) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |