Organization
INNOVATIVE SLEEP CENTERS PLLC
Active
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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