Organization
NORTHWEST MEDICAL INC
Active
Other names
Western Medical Specialties Vancouver, Hurford 2 Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN J WALETICH (OWNER)
(360) 726-6928
Entity
Organization
Contact information
Practice address
5601 E 18TH ST STE 102, VANCOUVER, WA 98661-6886
(360) 726-6928
(360) 828-5769
Mailing address
5601 E 18TH ST STE 102, VANCOUVER, WA 98661-6886
(360) 726-6928
(360) 828-5769
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
601 544 278
WA
332BN1400X
Nursing Facility Supplies (DME)
601 544 278
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
601 544 278
WA
Other
Enumeration date
10/04/2006
Last updated
06/10/2022
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