Organization
PACIFIC MEDICAL, INC.
Active
Other names
Pacific Medical Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L. WEAVER JD (GENERAL COUNSEL)
(800) 726-9180
Entity
Organization
Contact information
Practice address
350 S 38TH CT, SUITE 110, RENTON, WA 98055-5743
(425) 226-5922
(425) 226-5927
Mailing address
FILE 1616, 1801 W OLYMPIC BLVD, PASADENA, CA 91199-1616
(800) 726-9180
(800) 861-5950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
02/04/2015
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