Healthcare Provider Details

I. General information

NPI: 1528268919
Provider Name (Legal Business Name): SLEEP TECHNOLOGIES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8440 SE SUNNYBROOK BLVD SUITE 208
CLACKAMAS OR
97015-5780
US

IV. Provider business mailing address

8440 SE SUNNYBROOK BLVD SUITE 208
CLACKAMAS OR
97015-5780
US

V. Phone/Fax

Practice location:
  • Phone: 503-496-5239
  • Fax: 503-296-2108
Mailing address:
  • Phone: 503-496-5239
  • Fax: 503-296-2108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

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

# 1
Identifier27954
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: MR. DAVID J LEWIS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 503-305-3806