Healthcare Provider Details

I. General information

NPI: 1023650314
Provider Name (Legal Business Name): US HOME SLEEP TEST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 116TH AVE NE STE F
BELLEVUE WA
98004-3801
US

IV. Provider business mailing address

13204 SE 306TH ST
AUBURN WA
98092-3278
US

V. Phone/Fax

Practice location:
  • Phone: 425-341-3421
  • Fax:
Mailing address:
  • Phone: 914-409-6393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIEANNE PARKER
Title or Position: MANAGER
Credential:
Phone: 206-898-3554