Organization
SOUTHERN OREGON SLEEP DIAGNOSTICS
Active
Other names
Mountain Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
CORY SULLINS (CFO)
(541) 773-1435
Entity
Organization
Contact information
Practice address
460 MURPHY RD, MEDFORD, OR 97504-8144
(541) 773-1435
(541) 858-6828
Mailing address
460 MURPHY RD, MEDFORD, OR 97504-8144
(541) 773-1435
(541) 858-6828
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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