Healthcare Provider Details

I. General information

NPI: 1598707390
Provider Name (Legal Business Name): ASPEN SLEEP CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12410 E. SINTO SUITE A
SPOKANE VALLEY WA
99216
US

IV. Provider business mailing address

12410 E SINTO AVE.SUITE A
SPOKANE VALLEY WA
99216
US

V. Phone/Fax

Practice location:
  • Phone: 509-892-1313
  • Fax: 509-892-1515
Mailing address:
  • Phone: 509-892-1313
  • Fax: 509-892-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DALE CLEVELAND
Title or Position: VICE PRESIDENT
Credential:
Phone: 509-892-1313