Organization
2ND WIND SLEEP MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JAMES PATRICK RRT (CEO)
(541) 981-2837
Entity
Organization
Contact information
Practice address
133 NE DUNN PLACE, MCMINNVILLE, OR 97128-9081
(503) 883-9268
(503) 883-9265
Mailing address
700 BELLEVUE ST SE, SUITE 120, SALEM, OR 97301-3819
(503) 883-9268
(503) 883-9265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
356726-90
OR
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274330
—
OR
Enumeration date
07/07/2008
Last updated
02/08/2012
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