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Organization

CORNERSTONE PROSTHETICS AND ORTHOTICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID J HUGHES CPO (PRESIDENT)
(425) 339-2559
Entity
Organization

Contact information

Practice address
566 N 5TH AVE, SEQUIM, WA 98382-3079
(360) 797-1001
(360) 797-1003
Mailing address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
600596756
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027038001
GROUP HEALTH
WA
01
1053640029
MEDICARE NPI
WA
01
192166200
OWCP
WA
05
2006562
WA
05
9004717
WA
05
9018516
WA
01
91118
LABOR AND INDUSTRIES
WA
Enumeration date
12/21/2009
Last updated
01/05/2022
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