# PERFORMANCE MODALITIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Performance Home Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790326882
- **Authorized official:** LUANA MICHELE HALL NAC (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (206) 569-4601

## Contact information

- **Practice address:** 21606 SE STARK ST, GRESHAM, OR 97030-2028
- **Practice address phone:** (866) 687-4463
- **Practice address fax:** (877) 414-2727
- **Mailing address:** PO BOX 94307, SEATTLE, WA 98124-6607
- **Mailing address phone:** (253) 852-5612
- **Mailing address fax:** (253) 854-4891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2019
- **Last updated:** 07/17/2024