OrganizationActive
Copper Creek Medical, Inc
NPI 1790033595 · Durable Medical Equipment & Medical Supplies · Kirkland, WA
Provider details
- NPI number
- 1790033595
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Alfred Tall, President(509) 998-4309
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12447 116th Ave Ne
Kirkland, WA 98034-4309
Phone: (425) 216-3903
Fax: (425) 481-8365
Street-level locationGet directions
Mailing address
21222 30th Dr Se
Bothell, WA 98021-7019
Registry dates
- Enumerated
- 2012-08-27
- Last updated
- 2012-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.