Organization
PROBRACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEG LELAND (OFFICER)
(360) 556-0431
Entity
Organization
Contact information
Practice address
11802 NE 65TH ST STE 101, VANCOUVER, WA 98662-5521
(800) 586-4403
(800) 586-4403
Mailing address
11802 NE 65TH ST STE 101, VANCOUVER, WA 98662-5521
(800) 586-4403
(800) 586-4403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602726221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225913
WA LABOR & INDUSTRIES
WA
Enumeration date
06/07/2007
Last updated
06/27/2008
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