Organization
SLEEPWELL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAYNE WIGGINS R.PSGT (GENERAL MANAGER)
(503) 652-0067
Entity
Organization
Contact information
Practice address
9717 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9784
(503) 652-0067
(503) 652-0068
Mailing address
9717 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9784
(503) 652-0067
(503) 652-0068
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275323
—
OR
Enumeration date
07/06/2006
Last updated
08/22/2020
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