Organization
2ND WIND SLEEP MEDICAL EQUIPMENT
Active
Organization
2ND WIND SLEEP MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JAMES PATRICK RT (CEO)
(503) 485-2552
Entity
Organization
Contact information
Practice address
700 BELLEVUE ST SE, STE 120, SALEM, OR 97301-3819
(503) 485-2552
(503) 485-2245
Mailing address
110 HICKORY ST NW, ALBANY, OR 97321-1724
(541) 981-2837
(541) 704-0721
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
356726-90
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274330
—
OR
Enumeration date
01/18/2007
Last updated
01/27/2012
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