Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 332BP3500X | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition | 601 544 278 | WASHINGTON | No |
| 2 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | 601 544 278 | WASHINGTON | No |
| 3 | 332B00000X | Durable Medical Equipment & Medical Supplies | | 601 544 278 | WASHINGTON | Yes |