Organization
CREATIVE MINDS INC.
Active
Other names
Our Creative Minds Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER ALAN NORDLANDER (PRESIDENT)
(360) 551-2440
Entity
Organization
Contact information
Practice address
14089 VINTAGE DR SW, PORT ORCHARD, WA 98367-7394
(360) 551-2440
Mailing address
14089 VINTAGE DR SW, PORT ORCHARD, WA 98367-7394
(360) 551-2440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/04/2017
Last updated
05/05/2017
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