NPI: 1073559670 · PORT ANGELES, WA 98362 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/21/2006
| Authorized Official | ELIOPULOS, TIFFANY (ASSISTANT MANAGER, ENROLLMENTS) |
| NPI Enumeration Date | 06/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 34 | $367.04 |
| 2019 | 13 | $120.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 47 | 47 | $487.04 |