NPI 1023648425
Performance Modalities INC
Practice location
- Address
- 100 S 11th St, Mount Vernon, WA 98274-4026
- Phone
- (360) 826-7090
- Mailing address
- PO Box 94307, Seattle, WA 98124-6607
Authorised official
- Name
- Luana Michele Hall
- Title
- Director of Compliance
- Phone
- (206) 569-4601
Registered specialties (2)
Oxygen Equipment & Supplies (DME)
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1023648425
- Entity type
- Organization
- NPI issued
- 24 Jan 2020
- Record last updated
- 17 Jul 2024
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.