Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wilderness Shores Supplies, LLC

Organization Parenteral & Enteral Nutrition Supplies (DME) · NPI 1144545054

Wilderness Shores Supplies, LLC is a Parenteral & Enteral Nutrition Supplies (DME) in Maple Valley, Washington. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25614 Lake Wilderness Ln SE
Maple Valley, WA 98038-6019
Phone: (206) 931-5284
Fax: (425) 413-5116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary) Taxonomy 332BP3500X
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X

Record details

NPI number1144545054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley McMonagle — Owner · (206) 931-5284
NPI enumeratedApril 2, 2010
Last updated in NPPESApril 2, 2010
Mailing address25614 Lake Wilderness Ln Se, Maple Valley, WA 98038-6019