Healthcare Provider Details

I. General information

NPI: 1649152885
Provider Name (Legal Business Name): NORTHWEST REST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 WARNER MILNE RD STE 209
OREGON CITY OR
97045-4097
US

IV. Provider business mailing address

365 WARNER MILNE RD STE 209
OREGON CITY OR
97045-4097
US

V. Phone/Fax

Practice location:
  • Phone: 503-495-6200
  • Fax: 503-495-6208
Mailing address:
  • Phone: 503-495-6200
  • Fax: 503-495-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SCHIEDLER
Title or Position: DIRECTOR OF ADMINISTRATION
Credential:
Phone: 503-877-6202