Organization
2ND WIND SLEEP MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JAMES PATRICK (PRESIDENT/ CEO)
(541) 981-3618
Entity
Organization
Contact information
Practice address
110 HICKORY ST NW, ALBANY, OR 97321-1724
(541) 981-2837
(541) 704-0521
Mailing address
110 HICKORY ST NW, ALBANY, OR 97321-1724
(541) 981-2837
(541) 704-0521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
35676-90
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274330
—
OR
Enumeration date
03/01/2011
Last updated
01/27/2012
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