Columbia Sleep Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLUMBIA SLEEP SERVICES

Practice address

10735 SE Stark St
Suite 105
Portland, OR 97216-2765

Phone

(503) 257-5955

NPI assigned

Apr 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Kenemer

Title

Owner/Operator

Phone

(503) 810-6687

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1053587006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16907",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920907",
            "telephone_number": "503-257-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 SE STARK ST",
            "address_2": "SUITE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162765",
            "telephone_number": "503-257-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SLEEP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "KENEMER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-810-6687"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Park Oral Surgery PC
• Columbia Pharmacy LLC
• Columbia Regional Program-Audiology
• Columbia River Correctional Institution
• Columbia River Surgery Center LLC
• Columbia Square Dental LLC
• Columbia-Inland Corporation
• Columbiacare Serices
• Columbiacare Services
• Columbiacare Services

• All providers in Portland, OR
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.