NPIMap

Organization Active NPI

Douglas Medical Equipment Supply

  • Sleep Disorder Diagnostic Clinic/Center
  • North Bend, OR
National Provider Identifier
1063890382
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
500643-94 Issued in OR
Legal business name
DOUGLAS MEDICAL EQUIPMENT SUPPLY
Practice address
1950 Waite St
North Bend, OR 97459-1228
Phone
(541) 756-9014
Fax
(541) 756-9015
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Mrs. Michele E Torvik
Title
Abct Coo
Phone
(541) 464-4492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 500643-94 OR Primary

Addresses

Primary practice location

1950 Waite St
North Bend, OR 97459-1228

Mailing address

1950 Waite St
North Bend, OR 97459-1228
Phone (541) 756-9014

Other names 1

  • DBA PACIFIC SLEEP LABS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1063890382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 WAITE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591228",
            "telephone_number": "541-756-9014",
            "fax_number": "541-756-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 WAITE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591228",
            "telephone_number": "541-756-9014",
            "fax_number": "541-756-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS MEDICAL EQUIPMENT SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "TORVIK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ABCT COO",
        "authorized_official_telephone_number": "541-464-4492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OR",
            "license": "500643-94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA PACIFIC SLEEP LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.