Healthcare Provider Details

I. General information

NPI: 1619156783
Provider Name (Legal Business Name): HAND THERAPY SPECIALISTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9407 NE VANCOUVER MALL DR
VANCOUVER WA
98662-6191
US

IV. Provider business mailing address

2330 NW FLANDERS ST STE G1
PORTLAND OR
97210-3442
US

V. Phone/Fax

Practice location:
  • Phone: 360-823-0828
  • Fax: 360-823-0829
Mailing address:
  • Phone: 503-224-9270
  • Fax: 503-224-9271

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

VIII. Authorized Official

Name: RHONDA JOHNSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 503-224-9270