| NPI | 1609068113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI S JOHNSON President 360-756-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602351925) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |