Organization
VANCOUVER SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKHIL RAGHURAM MD (MD, DIRECTOR)
(360) 839-4532
Entity
Organization
Contact information
Practice address
12405 SE 2ND CIR, VANCOUVER, WA 98684-6064
(360) 839-4532
(855) 598-3606
Mailing address
12405 SE 2ND CIR, VANCOUVER, WA 98684-6064
(360) 839-4532
(855) 598-3606
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD00045684
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD28263
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603 492 359
BUSINESS LICENSE
WA
Enumeration date
05/13/2015
Last updated
02/28/2025
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