Pacific Sleep & Respiratory Diagnostics LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS LLC

Practice address

780 2ND St SE Ste 3
Bandon, OR 97411-8354

Phone

(541) 756-9014

Fax

(541) 756-9015

NPI assigned

May 14, 2010

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 Woodruff, NASPE

Title

Member Manager

Phone

(541) 756-9014

Specialties & licenses 1

Addresses

Part of

Pacific Sleep Resp Diagnos

Locations

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1174841183",
    "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": "780 2ND ST SE STE 3",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974118354",
            "telephone_number": "541-756-9014",
            "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": "2010-05-14",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "DARREL",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "541-756-9014",
        "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": []
}

• Tracy Ann Merriam, LCSW
• Holly J Mousa, PHARMD
• Andrew J Oas, DMD
• Karen Jane Olson, CFNP-APRN
• Oregon Retina, LLP
• Paul Pantleo
• Jonathon Lex Park, MD
• Janis Petrie, ARNP
• Tristan Proett, MSPT
• Rachel Anne Rainey, LCSW

• Sleep Disorder Diagnostic Clinic/Center in Bandon, OR
• Providers in Bandon, 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 Feb 23, 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.