| NPI | 1699989210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D LOUIE Manager 360-802-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA OT00002354) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-10-29 |