Organization
STEVEN G COLWELL
Active
Other names
Southshore Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GUY COLWELL CPO BOCO LPO (OWNER)
(206) 440-1811
Entity
Organization
Contact information
Practice address
6509 NE 181ST ST, KENMORE, WA 98028-4801
(206) 440-1811
(425) 488-3025
Mailing address
6509 NE 181ST ST, KENMORE, WA 98028-4801
(206) 440-1811
(425) 488-3025
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9031865
—
WA
Enumeration date
11/21/2006
Last updated
05/04/2010
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