| NPI | 1679025902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE EUGENE HESS Owner 360-754-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WA 0-000-506-137) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2025-05-13 |