Provider Demographics
NPI:1922377142
Name:SOUND OXYGEN SERVICE INC
Entity Type:Organization
Organization Name:SOUND OXYGEN SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-880-0473
Mailing Address - Street 1:1449 W VALLEY HWY N
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-4124
Mailing Address - Country:US
Mailing Address - Phone:253-939-2752
Mailing Address - Fax:
Practice Address - Street 1:646 OKOMA DR
Practice Address - Street 2:STE D
Practice Address - City:OMAK
Practice Address - State:WA
Practice Address - Zip Code:98841-9515
Practice Address - Country:US
Practice Address - Phone:509-631-7602
Practice Address - Fax:888-510-6397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602337556332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9054248Medicaid