Organization
COLUMBIA SLEEP SERVICES
Active
Organization
COLUMBIA SLEEP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KENEMER (OWNER/OPERATOR)
(503) 810-6687
Entity
Organization
Contact information
Practice address
10735 SE STARK ST, SUITE 105, PORTLAND, OR 97216-2765
(503) 257-5955
Mailing address
PO BOX 16907, PORTLAND, OR 97292-0907
(503) 257-5955
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
Other
Enumeration date
04/30/2008
Last updated
10/14/2009
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