2ND Wind Sleep Medical Equipment, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · McMinnville, OR
NPI 1154584530 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1154584530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 356726-90 (OR)
- Legal business name
- 2ND WIND SLEEP MEDICAL EQUIPMENT, LLC
- Practice address
- 133 NE Dunn Place
McMinnville, OR 97128-9081 - Phone
- (503) 883-9268
- Fax
- (503) 883-9265
- NPI assigned
- Jul 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Kevin James Patrick, RRT
- Title
- Ceo
- Phone
- (541) 981-2837
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 356726-90 | OR | Yes |
Addresses
Primary practice location
133 NE Dunn Place
McMinnville, OR 97128-9081
Mailing address
700 Bellevue St SE
Suite 120
Salem, OR 97301-3819
Phone (503) 883-9268
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274330 | Medicaid | OR |
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All providers in McMinnville, OR · Durable Medical Equipment & Medical Supplies in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.