Option 1 Northwest Enteral LLC

NPI #1043398407 in Kent, Washington

Provider Information

NPI Number
1043398407
Entity Type
Organization
Organization Name
Option 1 Northwest Enteral LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date
Nov 2, 2006
Last Updated
Jan 27, 2025

Practice Location

Address
8633 SOUTH 212TH STREET
City
Kent
ZIP Code
98031
Phone
(888) 885-2386

Authorized Official

Name
MATTHEW BUCKHALTER
Title
CFO
Phone
(470) 464-8000

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition

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