| NPI | 1780914069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN OHARA President 360-521-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA N/A for C.Peds) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |