Healthcare Provider Details

I. General information

NPI: 1255135562
Provider Name (Legal Business Name): SLEEP BETTER BEND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 SW SHEVLIN HIXON DR STE B
BEND OR
97702-3201
US

IV. Provider business mailing address

199 SW SHEVLIN HIXON DR STE B
BEND OR
97702-3201
US

V. Phone/Fax

Practice location:
  • Phone: 541-330-5952
  • Fax: 541-330-5935
Mailing address:
  • Phone: 541-330-5952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1265412126
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerNPI

VIII. Authorized Official

Name: DR. TRAN QUACH-MILLER
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 541-330-5952