Peach Willow LLC
NPI 1932608049ActiveOrganization· Technician, Other· Vancouver, WA
Technician, Other in Vancouver, Washington, registered in NPPES in February 2018. The authorized official on file is John Goode, General Manager.
Overview
| NPI | 1932608049 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2018 |
| Last updated in NPPES | Jun 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | 89329 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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