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General NPI Number Information
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NPI Number | 1023336914
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Entity Type | Organization
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Legal Business Name | SLEEP MANAGEMENT GROUP, LLC
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 2310 NW KINGS BLVD
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City | CORVALLIS
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State | OR
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Zip | 97330-3925
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Country | US
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Telephone | 541-517-0607
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Fax | 541-344-6802
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Provider Business Mailing Address
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Address Line | 1917 LAKEVIEW DR
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City | EUGENE
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State | OR
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Zip | 97408-7205
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Country | US
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Telephone | 541-517-0607
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Fax | 541-344-6802
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Authorized Official
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Title or Position | PARTNER
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Name | CHRIS GUNSON
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Credential |
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Telephone | 541-517-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | OR
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