Provider Demographics
NPI:1457814816
Name:DME NORTHWEST LLC
Entity Type:Organization
Organization Name:DME NORTHWEST LLC
Other - Org Name:DME NORTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:206-468-8379
Mailing Address - Street 1:18641 BEVERLY RD SW
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3807
Mailing Address - Country:US
Mailing Address - Phone:206-468-8379
Mailing Address - Fax:253-212-1561
Practice Address - Street 1:2821 NORTHUP WAY STE 225
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1497
Practice Address - Country:US
Practice Address - Phone:206-468-8379
Practice Address - Fax:253-212-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies