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General NPI Number Information
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NPI Number | 1538298336
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Entity Type | Organization
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Legal Business Name | OREGON SLEEP AND PULMONARY, LLC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2228 NW PETTYGROVE ST STE 150
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City | PORTLAND
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State | OR
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Zip | 97210-2761
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Country | US
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Telephone | 503-288-5201
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Fax |
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Provider Business Mailing Address
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Address Line | 2228 NW PETTYGROVE ST STE 150
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City | PORTLAND
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State | OR
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Zip | 97210-2761
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Country | US
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Telephone | 503-288-5201
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Fax | 503-288-0151
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Authorized Official
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Title or Position | CCO
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Name | SHEILA ROBERSON
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Credential |
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Telephone | 443-707-2228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD17937
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License Number State | OR
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