# MOBILE WOUND HEALING USA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730053547
- **Authorized official:** LEIF ANDERSEN (OWNER)
- **Authorized official phone:** (206) 579-5574

## Contact information

- **Practice address:** 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854-9599
- **Practice address phone:** (800) 968-4325
- **Practice address fax:** (888) 309-6379
- **Mailing address:** 13140 COUNTRY CLUB DR SW UNIT 204, LAKEWOOD, WA 98498-5330
- **Mailing address phone:** (800) 968-4325
- **Mailing address fax:** (888) 309-6379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2025
- **Last updated:** 12/05/2025
