Organization Active NPI

2ND Wind Sleep Medical Equipment, LLC

  • Oxygen Equipment & Supplies (DME)
  • Tigard, OR
National Provider Identifier
1225314024
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
356726-90 Issued in OR
Legal business name
2ND WIND SLEEP MEDICAL EQUIPMENT, LLC
Practice address
9900 SW Greenburg Rd
Suite 275
Tigard, OR 97223-5502
Phone
(503) 747-6857
Fax
(541) 747-6891
NPI assigned
Oct 25, 2011
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
2ND WIND SLEEP MEDICAL EQUIPMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Mr. Kevin James Patrick
Title
Ceo-Co
Phone
(541) 981-2837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 356726-90 OR Primary

Addresses

Primary practice location

9900 SW Greenburg Rd
Suite 275
Tigard, OR 97223-5502

Mailing address

110 Hickory St NW
Albany, OR 97321-1724
Phone (541) 981-2837

National Provider Directory

National Provider Directory
Part of
2ND Wind Sleep Medical Equipment

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1225314024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HICKORY ST NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211724",
            "telephone_number": "541-981-2837",
            "fax_number": "541-704-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW GREENBURG RD",
            "address_2": "SUITE 275",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235502",
            "telephone_number": "503-747-6857",
            "fax_number": "541-747-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND WIND SLEEP MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "2ND WIND SLEEP MEDICAL EQUIPMENT, LLC",
        "enumeration_date": "2011-10-25",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO-CO",
        "authorized_official_telephone_number": "541-981-2837",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OR",
            "license": "356726-90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.