MEDICARE: INTEGRITY SLEEP SOLUTION PLLC

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	122300000X	Dentist
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1700504529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY SLEEP SOLUTION PLLC

Provider Business Mailing Address
First Line	:	PO BOX 173
Second Line	:
City	:	HOODSPORT
State	:	WA
Zip	:	98548-0173
Country	:	US
Telephone Number	:	360-877-5151
Fax Number	:	206-400-5997

Provider Business Practice Location Address
First Line	:	68 N LAKE CUSHMAN ROAD
Second Line	:
City	:	HOODSPORT
State	:	WA
Zip	:	98548-9854
Country	:	US
Telephone Number	:	360-878-5151
Fax Number	:	206-400-5997

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. RICHARD C DOWNING
Credential	:	DDS
Telephone Number	:	360-259-1984

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	10/26/2023

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Directions to “INTEGRITY SLEEP SOLUTION PLLC ” Practice Location

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