Organization
PACIFIC NORTHWEST SLEEP CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES O'KEEFE BA (CHIEF OPERATING OFFICER)
50355404052
Entity
Organization
Contact information
Practice address
702 CHURCH ST NE, SUITE B, SALEM, OR 97301-2404
(503) 540-4052
(503) 540-4054
Mailing address
702 CHURCH ST NE, SUITE B, SALEM, OR 97301-2404
(503) 540-4052
(503) 540-4054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500605759
—
OR
Enumeration date
12/10/2008
Last updated
06/04/2009
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