NPI 1023366812
Copper Creek Medical, INC.
Practice location
- Address
- 3410 E Desmet Ave Suite B, Spokane, WA 99202-4514
- Phone
- (509) 536-7626
- Fax
- (509) 536-7629
- Mailing address
- 21222 30th Dr SE Suite 210, Bothell, WA 98021-7019
Authorised official
- Name
- Alfred Tall
- Title
- President
- Phone
- (509) 998-4309
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1023366812
- Entity type
- Organization
- NPI issued
- 27 Aug 2012
- Record last updated
- 27 Aug 2012
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.