NPI 1043398407
Option 1 Northwest Enteral LLC
Practice location
- Address
- 8633 South 212th Street, Kent, WA 98031
- Phone
- (888) 885-2386
- Fax
- (888) 599-3448
- Mailing address
- 400 Interstate North Pkwy SE STE 1600, Atlanta, GA 30339-5047
Authorised official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Registered specialties
Parenteral & Enteral Nutrition Supplies (DME)
Primary
Registry record
- NPI
- 1043398407
- Entity type
- Organization
- NPI issued
- 2 Nov 2006
- Record last updated
- 27 Jan 2025
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.