1770930323 NPI number — SLEEP TECHNOLOGIES LTD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770930323 NPI number — SLEEP TECHNOLOGIES LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP TECHNOLOGIES LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770930323
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8440 SE SUNNYBROOK BLVD
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
CLACKAMAS
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97015-5780
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-496-5239
Provider Business Mailing Address Fax Number:
503-296-2108

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9300 NE VANCOUVER MALL DR STE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98662-8206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-877-5337
Provider Business Practice Location Address Fax Number:
503-343-6554
Provider Enumeration Date:
05/24/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LEWIS
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGING DIRECTOR
Authorized Official Telephone Number:
503-305-3806

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)