Provider Demographics
NPI:1457717159
Name:SOUNDVIEW MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:SOUNDVIEW MEDICAL SUPPLY, LLC
Other - Org Name:SOUNDVIEW MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-286-7665
Mailing Address - Street 1:PO BOX 859
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-0859
Mailing Address - Country:US
Mailing Address - Phone:206-286-3100
Mailing Address - Fax:206-286-7667
Practice Address - Street 1:700 E MAIN ST STE 113
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7158
Practice Address - Country:US
Practice Address - Phone:206-286-3100
Practice Address - Fax:206-286-7667
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUNDVIEW MEDICAL SUPPLY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-11
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies