| NPI | 1386722577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN O'HARA President 360-882-8962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 9659 (BCP #)) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |