MEDICARE: SOUND SLEEP, 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD00044635	WA
2	207RP1001X	Pulmonary Disease Physician	MD00044635	WA

General Provider Information

NPI Number	:	1790943595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUND SLEEP, LLC

Provider Business Mailing Address
First Line	:	7068 WING POINT RD NE
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2987
Country	:	US
Telephone Number	:	206-842-2379
Fax Number	:

Provider Business Practice Location Address
First Line	:	7068 WING POINT RD NE
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2987
Country	:	US
Telephone Number	:	206-842-2379
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	WILLIAM BOYAN
Credential	:	MD
Telephone Number	:	206-335-0934

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	01/03/2011

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Directions to “SOUND SLEEP, LLC ” Practice Location

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