Organization
MARY CATHERINES & DAUGHTERS
Active
Other names
Mary Catherine's
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE MARIAN RIEDEL (OWNER)
(206) 322-1128
Entity
Organization
Contact information
Practice address
10002 AURORA AVE N, BLDG. 2, SUITE 12-14, SEATTLE, WA 98133-9329
(206) 322-1128
(206) 322-9239
Mailing address
10002 AURORA AVE N, BLDG. 2, SUITE 12-14, SEATTLE, WA 98133-9329
(206) 322-1128
(206) 322-9239
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
151602
OR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600309023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018994
—
OR
01
—
1074MA
REGENCE
WA
01
—
2035MA
REGENCE
WA
05
—
9013269
—
WA
05
—
9558107
—
WA
Enumeration date
03/19/2007
Last updated
09/30/2015
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