| NPI | 1679534044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES VETSCH CEO 509-452-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA C600043096) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA C600043096) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WA C600043096) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WA C600043096) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: WA C600043096) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |