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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