Organization
WHEN THE SHOE FITS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OHARA C.PED (PRESIDENT)
(360) 521-9462
Entity
Organization
Contact information
Practice address
13305 NE HIGHWAY 99 STE 100, VANCOUVER, WA 98686-2804
(360) 546-1929
Mailing address
13305 NE HIGHWAY 99 STE 100, VANCOUVER, WA 98686-2804
(360) 546-1929
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
N/A FOR C.PEDS
WA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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