Organization
INNOVATIVE SLEEP CENTERS PLLC
Active
Other names
Northwest Neurology and Memory Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRDAD RAZAVI MD (PRESIDENT)
(425) 516-4749
Entity
Organization
Contact information
Practice address
260 LEE ST SW, TUMWATER, WA 98501-4403
(360) 754-3825
(360) 754-3835
Mailing address
260 LEE ST SW, TUMWATER, WA 98501-4403
(360) 754-3825
(360) 754-3835
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
09/22/2025
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