Organization
BLUE MOUNTAIN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED ANTHONY TALL RRT, RPSGT (PRESIDENT)
(425) 673-3774
Entity
Organization
Contact information
Practice address
7320 216TH ST SW, SUITE 30, EDMONDS, WA 98026-8006
(425) 673-3774
(425) 673-3776
Mailing address
7320 216TH ST SW, SUITE 30, EDMONDS, WA 98026-8006
(425) 673-3774
(425) 673-3776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9055195
DSHS
WA
Enumeration date
11/08/2006
Last updated
07/21/2022
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