| Organization Name: | DEACON'S MEDICAL EQUIPMENT |
| NPI Number: | 1568475408 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGER DEACON (OWNER) |
| Mailing Address: | 118 N. Main St. Colfax |
| State: | WA US |
| Postal Code: | 99111 |
| Phone Number: | 5093973345 |
| Fax Number: | 5093972966 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BD1200X |
| License Number: | 601678679 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Dialysis Equipment & Supplies |
| Taxonomy Definition: | |