MEDICARE: DIRECT SLEEP CARE 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	207RS0012X	Sleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1942162243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECT SLEEP CARE LLC

Provider Business Mailing Address
First Line	:	205 E 11TH ST STE LL8
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3311
Country	:	US
Telephone Number	:	360-539-2590
Fax Number	:	360-282-1213

Provider Business Practice Location Address
First Line	:	205 E 11TH ST STE LL8
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3311
Country	:	US
Telephone Number	:	360-539-2590
Fax Number	:	360-282-1213

Authorized Official
Title or Position	:	BUSINESS ADMINISTRATOR
Name	:	NOLAN HOOPER
Credential	:
Telephone Number	:	940-390-7222

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	03/11/2026

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Directions to “DIRECT SLEEP CARE LLC ” Practice Location

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