Organization
PREMIER SLEEP PROFESSIONALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE SKINNER (PRESIDENT)
(503) 982-2238
Entity
Organization
Contact information
Practice address
1369 N PACIFIC HWY BLDG B, WOODBURN, OR 97071-3617
(503) 982-2238
(503) 982-2249
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(503) 657-8663
(503) 723-3180
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912113879
NPI NUMBER
OR
05
—
272424
—
OR
Enumeration date
05/15/2007
Last updated
10/27/2009
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