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Organization
NORTHWEST PRIMARY CARE GROUP PC
Active
Organization
NORTHWEST PRIMARY CARE GROUP PC
Active
Other names
Northwest Sleep Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WHITBECK (ADMINISTRATOR)
(503) 659-4777
Entity
Organization
Contact information
Practice address
16144 SE HAPPY VALLEY TOWN CENTER DR STE 101, HAPPY VALLEY, OR 97086-4257
(503) 353-1272
(503) 654-4815
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022990
—
OR
01
—
CE8055
RAILROAD GROUP PTAN
OR
Enumeration date
07/27/2006
Last updated
06/03/2020
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