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General NPI Number Information
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NPI Number | 1073608733
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Entity Type | Organization
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Legal Business Name | NORTHWEST MEDICAL INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 5601 E 18TH ST STE 102
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City | VANCOUVER
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State | WA
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Zip | 98661-6886
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Country | US
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Telephone | 360-726-6928
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Fax | 360-828-5769
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Provider Business Mailing Address
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Address Line | 5601 E 18TH ST STE 102
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City | VANCOUVER
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State | WA
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Zip | 98661-6886
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Country | US
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Telephone | 360-726-6928
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Fax | 360-828-5769
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN J WALETICH
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Credential |
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Telephone | 360-726-6928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 601 544 278
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 601 544 278
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 601 544 278
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License Number State | WA
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