MEDICARE: CPAP RESOURCE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	27037498	OR

General Provider Information

NPI Number	:	1164425823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CPAP RESOURCE, LLC

Provider Business Mailing Address
First Line	:	2940 PENNINGTON DR
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-5176
Country	:	US
Telephone Number	:	541-282-9944
Fax Number	:	541-282-2245

Provider Business Practice Location Address
First Line	:	2940 PENNINGTON DR
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-5176
Country	:	US
Telephone Number	:	541-282-9944
Fax Number	:	541-282-2245

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. MICHAEL E DEANE
Credential	:	RCP
Telephone Number	:	541-282-9944

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/17/2009

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Directions to “CPAP RESOURCE, LLC ” Practice Location

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