Pacific Sleep & Respiratory Diagnostics, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC

Practice address

21 N Adams St
Coquille, OR 97423-1858

Phone

(541) 982-4156

Fax

(541) 756-9015

NPI assigned

Nov 8, 2011

Organization subpart

Yes

Parent organization

PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Darrel Martin Woodruff, NASPE

Title

Member Manager

Phone

(541) 982-4156

Specialties & licenses 1

Addresses

Part of

Pacific Sleep Resp Diagnos

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark T Gabr, M.D.

  • Clinical Neurophysiology Physician
  • Salem, OR
  • NPI 1487759890
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1083991772",
    "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": "21 N ADAMS ST",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231858",
            "telephone_number": "541-982-4156",
            "fax_number": "541-756-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS, LLC",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "541-982-4156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NASPE"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Nevdal, RPH
• Christine Nguyen
• Lyle Kevin Norton, DC
• Oregon Hearing Professionals, Inc.
• Oregon Retina, LLP
• Pahls Dentistry PC
• Christian Brent Pahls, D.D.S.
• Herman Christian Pahls, DDS
• Pathfinders Behavioral Health LLC
• Stanley C Pense, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Coquille, OR
• Providers in Coquille, OR by specialty
• Sleep Disorder Diagnostic Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.