Organization
ADVANCED SLEEP DISORDERS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY LYNN SCOTT III (BILLING SPECIALIST)
(541) 772-5754
Entity
Organization
Contact information
Practice address
700 E MAIN ST, SUITE 111, MEDFORD, OR 97504-7138
(541) 772-5754
(541) 772-5734
Mailing address
700 E MAIN ST, SUITE 111, MEDFORD, OR 97504-7138
(541) 772-5754
(541) 772-5734
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
0600026710
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022811
—
OR
Enumeration date
06/06/2006
Last updated
11/06/2009
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