PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION (NPI# 1114196110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114196110 |
| Entity Type | Organization |
| Organization Name | PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION |
| Practice Address |
9600 Sw Oak St Suite 350 Tigard OR 97223-6583 |
| Mailing Address |
10532 Acacia St Suite B-4 Rancho Cucamonga CA 91730-5446 |
| Practice Telephone | 5032938910 |
| Practice Fax Number | 5039454567 |
| Mailing Telephone | 9094812577 |
| Mailing Fax Number | 9094812546 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2009-10-26 |
| Authorized Official Name | MS. NANCY M JOHNSON (CREDENTIALING) |
| Authorized Official Telephone | 3368410643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OMAP | 500610662 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336318963 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 4226 Avendia Chochise, Suite 10, Sierra Vista, AZ 85635-5818 | 2008-02-28 |
| 1053580134 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 2875 50th St, Sacramento, CA 95817-2308 | 2008-02-22 |
| 1134360217 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 500 17th Ave, Suite A-20, Seattle, WA 98122-5711 | 2009-03-18 |
| 1548405145 | Pacific Sleep Medicine, A Medical Corporation | Specialist | 555 Washington St, Ste 1037, San Diego, CA 92103-2289 | 2008-12-10 |
| 1477722544 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 1671 Creekside Dr, Suite 100, Folsom, CA 95630-3890 | 2008-02-22 |
| 1124297288 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 1020 Sun Down Way, Suite160, Roseville, CA 95661-4473 | 2008-02-22 |
| 1053580126 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 2570 Goodwater Ave, Suite 200, Redding, CA 96002-1548 | 2008-02-22 |
| 1306015409 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 613 E Fort Union, Ste A102, Midvale, UT 84047 | 2008-02-22 |
| 1780763466 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 700 Sunset Dr, Suite C, La Grande, OR 97850-1260 | 2006-11-03 |
| 1730268467 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 6333 Wilshire Blvd, Ste 402, Los Angeles, CA 90048-5702 | 2006-11-03 |
| Street Address |
9600 SW OAK ST SUITE 350 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-6583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235228099 | Leslie Elizabeth Carter | Psychologist | 9600 Sw Oak St, Ste 325, Tigard, OR 97223-6588 | 2006-10-12 |
| 1639539976 | Carter Counseling & Consulting PC | Psychologist | 9600 Sw Oak St, Suite 325, Tigard, OR 97223-6583 | 2016-02-29 |
| 1679933113 | Simona Borza Pmhnp, LLC | Nurse Practitioner | 9600 Sw Oak St, Suite 325, Tigard, OR 97223-6583 | 2016-02-25 |
| 1033359708 | Kris D Teshera | Psychologist | 9600 Sw Oak St, Suite 280, Tigard, OR 97223-6583 | 2009-02-20 |
| 1730362088 | Simona Daniela Borza | Registered Nurse | 9600 Sw Oak St, Ste 325, Tigard, OR 97223-6588 | 2007-12-10 |
| 1144414830 | Sleepwell Partner LLC | Clinic/Center | 9600 Sw Oak St, Suite 350, 3rd Floor, Tigard, OR 97223-6583 | 2007-09-05 |
| 1710189360 | Pamela Ann Moore | Registered Nurse | 9600 Sw Oak St, Suite 525, Tigard, OR 97223-6583 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144414830 | Sleepwell Partner LLC | Clinic/Center | 9600 Sw Oak St, Suite 350, 3rd Floor, Tigard, OR 97223-6583 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1578941795 | Douglas Medical Equipment Supply | Clinic/Center | 150 N 7th St, Reedsport, OR 97467-1503 | 2015-05-07 |
| 1205255882 | Sleep Health Now, LLC | Clinic/Center | 14780 Sw Osprey Dr Ste 240a, Beaverton, OR 97007-8424 | 2014-04-10 |
| 1578906582 | Somnorem Diagnostics LLC | Clinic/Center | 8130 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1845 | 2013-04-09 |
| 1083991772 | Pacific Sleep & Respiratory Diagnostics, LLC | Clinic/Center | 21 N Adams St, Coquille, OR 97423-1858 | 2011-11-08 |
| 1740585876 | Northwest Sleep Services, LLC | Clinic/Center | 5060 Sw Philomath Blvd # 166, Corvallis, OR 97333-1044 | 2011-01-20 |
| 1437466612 | Mark T. Gabr, M.d., P.C. | Clinic/Center | 180 Ramsgate Sq. Se, Salem, OR 97302-5867 | 2010-09-09 |
| 1881912889 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 1950 Waite St, North Bend, OR 97459-1228 | 2010-05-14 |
| 1174841183 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 780 2nd St Se Ste 3, Bandon, OR 97411-8354 | 2010-05-14 |
| 1043535685 | Sleep Metric Systems, Inc. | Clinic/Center | 1810 Se 10th Ave Ste B, Portland, OR 97214-3549 | 2010-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.