| NPI | 1962527572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SMEDSRUD Credentialing Specialist 206-386-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 601618448) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-01-18 |