Healthcare Provider Details

I. General information

NPI: 1780278010
Provider Name (Legal Business Name): OREGON SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 04/25/2024
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 JERSEY ST
SILVERTON OR
97381-1627
US

IV. Provider business mailing address

214 JERSEY ST
SILVERTON OR
97381-1627
US

V. Phone/Fax

Practice location:
  • Phone: 503-566-7000
  • Fax:
Mailing address:
  • Phone: 503-566-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALFRED BORROMEO
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 503-566-7000