Organization Active NPI

Northwest Medical Inc

Doing business as Western Medical Specialties Vancouver

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1073608733
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
601 544 278 Issued in WA
Legal business name
NORTHWEST MEDICAL INC
Doing business as
Western Medical Specialties Vancouver
Practice address
5601 E 18TH St Ste 102
Vancouver, WA 98661-6886
Phone
(360) 726-6928
Fax
(360) 828-5769
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Megan J Waletich
Title
Owner
Phone
(360) 726-6928

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 601 544 278 WA Primary
Nursing Facility Supplies (DME) 332BN1400X 601 544 278 WA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 601 544 278 WA

Addresses

Primary practice location

5601 E 18TH St Ste 102
Vancouver, WA 98661-6886

Mailing address

5601 E 18TH St Ste 102
Vancouver, WA 98661-6886
Phone (360) 726-6928

Other names 2

  • Western Medical Specialties Vancouver Doing business as
  • Hurford 2 Inc Other name

National Provider Directory

National Provider Directory

Locations

220 W Indiana Ave
Spokane, WA 99205

5601 E 18th St
Ste 102
Vancouver, WA 98661
Phone (360) 726-6928

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1073608733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 E 18TH ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616886",
            "telephone_number": "360-726-6928",
            "fax_number": "360-828-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 E 18TH ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616886",
            "telephone_number": "360-726-6928",
            "fax_number": "360-828-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "WALETICH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-726-6928"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "601 544 278",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WA",
            "license": "601 544 278",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WA",
            "license": "601 544 278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Medical Specialties Vancouver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hurford 2 Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.