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 |