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Optum Care Washington PLLC

Durable Medical Equipment & Medical Supplies in Stanwood, WA. Organization (NPI-2).

NPI number1881746063
StatusActive
Last updated in NPPESApr 11, 2024

Details

NPI
1881746063
Entity type
Organization (NPI-2)
Legal business name
Optum Care Washington PLLC
Organization subpart
Yes
Enumeration date
Jan 17, 2007
Certification date
Apr 11, 2024
Last updated
Apr 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Other names

  • Optum - Stanwood (Other Name)

Practice location

7205 265th St Nw
Stanwood, WA 98292-6221

Phone 360-629-1500

Mailing address

Po Box 5127
Everett, WA 98206-5127

Authorized official

George Go
Board President
4252590966

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