Organization
MEDIC REPAIR & SALES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT N JONES (VICE PRESIDENT)
(425) 252-6133
Entity
Organization
Contact information
Practice address
2722 RUCKER AVE, EVERETT, WA 98201-3404
(425) 252-6133
(425) 258-6942
Mailing address
2722 RUCKER AVE, EVERETT, WA 98201-3404
(425) 252-6133
(425) 258-6942
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
9045782
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106183
L & I
WA
05
—
9041674
—
WA
01
—
9045782
MEDICAID OXYGEN
WA
Enumeration date
08/02/2005
Last updated
09/11/2025
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