Organization
SLEEPWELL PARTNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SLAVIK (PRESEDINT)
(909) 481-2577
Entity
Organization
Contact information
Practice address
12901 SE 97TH AVE, CLACKAMAS, OR 97015-7901
(503) 652-0067
(503) 652-0068
Mailing address
10108 FOOTHILL BLVD. #160-241, RANCHO CUCAMONGA, CA 91730
(909) 481-2577
(909) 291-0226
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
B0437803
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247423
—
OR
01
—
P00417312
MEDICARE RAILROAD
OR
Enumeration date
01/14/2008
Last updated
02/05/2008
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