| NPI | 1629254339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED J HAWLEY President/Owner 360-653-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO676) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA PO676) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: WA PO676) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-03-07 |