Healthcare Provider Details

I. General information

NPI: 1841909579
Provider Name (Legal Business Name): ZIPR MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44027 SE TANNER RD STE C
NORTH BEND WA
98045-8440
US

IV. Provider business mailing address

44027 SE TANNER RD STE C
NORTH BEND WA
98045-8440
US

V. Phone/Fax

Practice location:
  • Phone: 426-654-1097
  • Fax:
Mailing address:
  • Phone: 426-654-1097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY TAN
Title or Position: GENERAL MANAGER
Credential:
Phone: 425-623-0233