Healthcare Provider Details

I. General information

NPI: 1831052463
Provider Name (Legal Business Name): HOWARDS MEDICAL INLAND EMPIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 S PIONEER WAY
MOSES LAKE WA
98837-2410
US

IV. Provider business mailing address

1101 N 16TH AVE STE 104
YAKIMA WA
98902-1300
US

V. Phone/Fax

Practice location:
  • Phone: 509-764-6670
  • Fax: 509-494-8888
Mailing address:
  • Phone: 509-834-7411
  • Fax: 509-494-8888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ERIK DAVID MICKELSON
Title or Position: OWNER
Credential:
Phone: 509-834-7411