Whalio Doctors

NPI 1003019142

Probrace, INC.

Organisation Durable Medical Equipment & Medical Supplies Vancouver, WA

Practice location

Address
11802 NE 65th St STE 101, Vancouver, WA 98662-5521
Phone
(800) 586-4403
Fax
(800) 586-4403

Authorised official

Name
Peg Leland
Title
Officer
Phone
(360) 556-0431

Registered specialties

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence 602726221 (WA)

Registry record

NPI
1003019142
Entity type
Organization
NPI issued
7 Jun 2007
Record last updated
27 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.