Healthcare Provider Details

I. General information

NPI: 1154455830
Provider Name (Legal Business Name): AARO MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 SIMPSON AVE
ABERDEEN WA
98520-3514
US

IV. Provider business mailing address

2222 SIMPSON AVE
ABERDEEN WA
98520-3514
US

V. Phone/Fax

Practice location:
  • Phone: 360-532-2222
  • Fax: 360-533-4320
Mailing address:
  • Phone: 360-532-2222
  • Fax: 360-533-4320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number600404826
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number600404826
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number600404826
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number600404826
License Number StateWA

VIII. Authorized Official

Name: BRUCE W THOMPSON
Title or Position: GENERAL MANAGER
Credential:
Phone: 360-532-2222