Organization
NORTHWEST MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISLINN HANSEN (OWNER)
(509) 460-9596
Entity
Organization
Contact information
Practice address
713 JADWIN AVE RM 4, RICHLAND, WA 99352-4248
(509) 460-9596
Mailing address
713 JADWIN AVE RM 4, RICHLAND, WA 99352-4248
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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