Organization
PERFORMANCE MODALITIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA MICHELE HALL (DIRECTOR OF COMPLIANCE)
(206) 569-4601
Entity
Organization
Contact information
Practice address
11790 SW BARNES RD STE 360, PORTLAND, OR 97225-5935
(866) 687-4463
Mailing address
19625 62ND AVE S STE A101, KENT, WA 98032-1106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
07/17/2024
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