Organization
PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC
Active
Parent organization
PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC
Authorized official
MR. DARREL MARTIN WOODRUFF NASPE (MEMBER MANAGER)
(541) 982-4156
Entity
Organization
Contact information
Practice address
21 N ADAMS ST, COQUILLE, OR 97423-1858
(541) 982-4156
(541) 756-9015
Mailing address
1950 WAITE ST, NORTH BEND, OR 97459-1228
(541) 756-9014
(541) 756-9015
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
08/10/2012
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