| NPI | 1912081860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN OSHIRO Owner 206-324-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: WA 0100000369) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA PS00000350) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 600104700) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-05-04 |