| Full Name | |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 904 7th Ave, Seattle, Washington |
| Authorized Official Name and Position | Craig Pepin (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2068605414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
904 7th Ave Seattle WA 98104-1132 Ph: (206) 329-1760 | 904 7th Ave Seattle WA 98104-1132 Ph: (206) 329-1760 |
| NPI Number | 1063892727 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 2163328196 |
|---|---|
| Medicare Enrollment ID | O20240819001249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063892727 | NPI | - | NPPES |
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