# VANCOUVER SLEEP CENTER, LLC

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

## Provider details

- **NPI number:** 1285012963
- **Authorized official:** AKHIL RAGHURAM MD (MD, DIRECTOR)
- **Authorized official phone:** (360) 839-4532

## Contact information

- **Practice address:** 12405 SE 2ND CIR, VANCOUVER, WA 98684-6064
- **Practice address phone:** (360) 839-4532
- **Practice address fax:** (855) 598-3606
- **Mailing address:** 12405 SE 2ND CIR, VANCOUVER, WA 98684-6064
- **Mailing address phone:** (360) 839-4532
- **Mailing address fax:** (855) 598-3606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD00045684 | WA | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD28263 | OR | — |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 02/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 603 492 359 | BUSINESS LICENSE | WA |