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Organization
PERFORMANCE MODALITIES INC
Active
Organization
PERFORMANCE MODALITIES INC
Active
Other names
Performance Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA MICHELE HALL (DIRECTOR OF COMPLIANCE)
(206) 569-4601
Entity
Organization
Contact information
Practice address
6485 SW BORLAND RD STE C, TUALATIN, OR 97062-9762
(866) 687-4463
Mailing address
19625 62ND AVE S STE A101, KENT, WA 98032-1106
(206) 867-3952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
06/13/2022
Last updated
07/17/2024
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