# 2ND WIND SLEEP MEDICAL EQUIPMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124346853
- **Authorized official:** MR. KEVIN JAMES PATRICK RT (PRESIDENT/CEO)
- **Authorized official phone:** (503) 485-2552

## Contact information

- **Practice address:** 2296 NW KINGS BLVD, STE. 101, CORVALLIS, OR 97330-3899
- **Practice address phone:** (541) 368-5008
- **Practice address fax:** (541) 368-5007
- **Mailing address:** 229 4TH AVE SE, ALBANY, OR 97321-2815
- **Mailing address phone:** (541) 981-2837
- **Mailing address fax:** (541) 704-0521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2010
- **Last updated:** 01/19/2011