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Organization
COMPLETE SLEEP SOLUTIONS, INC.
Active
Organization
COMPLETE SLEEP SOLUTIONS, INC.
Active
Other names
Advanced Sleep Disorders Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORE GOPINATHAN PATHIAL MD (DIRECTOR/OWNER)
(503) 472-5163
Entity
Organization
Contact information
Practice address
749 GOLF VIEW DR, MEDFORD, OR 97504-9654
(541) 772-5754
(541) 772-5734
Mailing address
2397 NE CUMULUS AVENUE, MCMINNVILLE, OR 97128
(503) 472-5163
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
MD18199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500629618
—
OR
Enumeration date
10/26/2010
Last updated
01/26/2011
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