| NPI | 1457645426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES COLIN MACDUFF Owner/President 360-754-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 603042252) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |