Provider Demographics
NPI:1104279389
Name:SOUND OXYGEN SERVICE INC
Entity type:Organization
Organization Name:SOUND OXYGEN SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-939-2752
Mailing Address - Street 1:4108 B PL NW
Mailing Address - Street 2:STE B
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-2454
Mailing Address - Country:US
Mailing Address - Phone:253-939-2752
Mailing Address - Fax:
Practice Address - Street 1:422 N 4TH ST
Practice Address - Street 2:STE. 101
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2856
Practice Address - Country:US
Practice Address - Phone:253-939-2752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies