OPTUM - DERMATOLOGY DME 2
NPI 1619138617
Durable Medical Equipment & Medical Supplies in Everett, WA

Q: What is Optum Care Washington PLLC's NPI number?

The NPI number for Optum Care Washington PLLC is 1619138617. It was assigned to this organization in the NPPES registry on June 23, 2008. The provider is also known as Optum - Dermatology Dme 2.

Q: What is Optum Care Washington PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since June 23, 2008

4004 COLBY AVE, EVERETT, WA 98201(425) 339-5417 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Dec 13, 2017, Nov 21, 2017 (3 updates tracked since 2017).

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About Optum - Dermatology Dme 2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM - DERMATOLOGY DME 2 (NPI 1619138617) is a healthcare organization registered as a durable medical equipment & medical supplies in Everett, Washington and active in the NPI registry since June 2008. The organization lists George Go, Board President, as its authorized official.

NPPES Registry Identity

NPI1619138617

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameOPTUM CARE WASHINGTON PLLC

Location Address4004 COLBY AVEEverett, WA 98201-6203

Mailing AddressPo Box 5127Everett, WA 98206-5127

Phone(425) 339-5417

Organization SubpartNo

Authorized OfficialGeorge GoBoard President · (425) 259-0966

Enumeration DateJune 23, 2008

Last NPPES UpdateApril 10, 20243 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1619138617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

4004 COLBY AVE, Everett, WA 98201

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Other Names 1

Other NameOptum - Dermatology Dme 2

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE M NOSAL MD

Dermatology