Healthcare Provider Details

I. General information

NPI: 1457810822
Provider Name (Legal Business Name): SLEEP ORBIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16201 E INDIANA AVE STE 1111
SPOKANE VALLEY WA
99216-2838
US

IV. Provider business mailing address

1314 S GRAND BLVD STE 2
SPOKANE WA
99202-1174
US

V. Phone/Fax

Practice location:
  • Phone: 800-974-8187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MORGANA SAMORA
Title or Position: MANAGER
Credential: MBA
Phone: 208-929-2234