Organization
MEDLAW CONFIDENTIAL PLLC
Active
Other names
LifeLink
Organization subpart
No
Provider details
NPI number
Authorized official
GREG WALSH CRITICAL CARE PM (MANAGER, CHIEF PARAMEDIC)
(360) 385-0812
Entity
Organization
Contact information
Practice address
824 GRANT ST, SUITE 5, PORT TOWNSEND, WA 98368-2477
(360) 385-0812
Mailing address
PO BOX 1922, PORT TOWNSEND, WA 98368-0064
(360) 385-0812
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
16X05
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176344
LABOR & INDUSTRIES PIN
WA
05
—
9054578
—
WA
Enumeration date
05/17/2007
Last updated
08/22/2020
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