Organization
WEST COAST PROSTHETICS AND ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE E ANDERSON LCPO (MANAGING MEMBER)
(360) 956-3333
Entity
Organization
Contact information
Practice address
2102 CARRIAGE DR SW, BLDG E, OLYMPIA, WA 98502
(360) 956-3333
(360) 956-3339
Mailing address
PO BOX 1994, OLYMPIA, WA 98507-1994
(360) 956-3333
(360) 956-3339
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
602115813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9051483
—
WA
Enumeration date
12/06/2006
Last updated
05/04/2011
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