Organization
PUGET SOUND MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BARRETT (OWNER)
(253) 857-3322
Entity
Organization
Contact information
Practice address
10130 SW NIMBUS AVE STE D9, TIGARD, OR 97223-4335
(866) 639-9501
(503) 639-9634
Mailing address
3202 20TH ST E, FIFE, WA 98424-1713
(253) 284-0909
(253) 284-0913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
9774
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298962
—
OR
Enumeration date
12/13/2006
Last updated
01/23/2009
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