Healthcare Provider Details

I. General information

NPI: 1992649826
Provider Name (Legal Business Name): HOWARDS MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 JIM CLEMENT WAY SUITE B
SELAH WA
98942
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 509-834-7413
  • Fax: 509-494-8888
Mailing address:
  • Phone: 509-834-7411
  • Fax: 509-494-8888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

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