Organization
NORDLIE ENTERPRISES, INC.
Active
Other names
Premier Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG EVAN NORDLIE (PRESIDENT)
(425) 453-0555
Entity
Organization
Contact information
Practice address
555 116TH AVE NE, SUITE #180, BELLEVUE, WA 98004-5232
(425) 453-0555
(425) 453-6610
Mailing address
555 116TH AVE NE, SUITE #180, BELLEVUE, WA 98004-5232
(425) 453-0555
(425) 453-6610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
601254898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9058355
—
WA
Enumeration date
11/27/2006
Last updated
07/07/2008
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