| NPI | 1992182380 |
|---|---|
| Doing Business As | PEACEHEALTH MEDICAL GROUP-OPTICAL SHOP VANCOUVER NETWORK |
| Entity Type | Organization |
| Authorized Contact | DOUG WATSON CFO 360-729-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-04-27 |