Organization
WHITE CROSS ORTHOPEDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDELLA O MYHRE (OWNER)
(360) 423-6027
Entity
Organization
Contact information
Practice address
811 11TH AVE, STE A, LONGVIEW, WA 98632-2462
(360) 423-6027
(360) 501-4454
Mailing address
811 11TH AVE, STE A, LONGVIEW, WA 98632-2462
(360) 423-6027
(360) 501-4454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006206
—
WA
05
—
9014671
—
WA
05
—
9048174
—
WA
Enumeration date
11/29/2006
Last updated
08/22/2020
Update your record
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