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Organization
SOUTHERN OREGON SLEEP DIAGNOSTICS
Active
Organization
SOUTHERN OREGON SLEEP DIAGNOSTICS
Active
Other names
Mountain Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
CORY SULLINS (CFO)
(541) 773-1435
Entity
Organization
Contact information
Practice address
460 MURPHY RD, MEDFORD, OR 97504-8144
(541) 773-1435
(541) 858-6828
Mailing address
460 MURPHY RD, MEDFORD, OR 97504-8144
(541) 773-1435
(541) 858-6828
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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