| NPI | 1528114469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY GOURLEY Executive Director 253-854-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-04-12 |