Vancouver Sleep Center, LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

MD00045684 Issued in WA

Legal business name

VANCOUVER SLEEP CENTER, LLC

Practice address

12405 SE 2ND Cir
Vancouver, WA 98684-6064

Phone

(360) 839-4532

Fax

(855) 598-3606

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Akhil Raghuram, MDNPI 1851462725

Title

MD, Director

Phone

(360) 839-4532

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20282/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Akhil Raghuram, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Vancouver, WA
  • NPI 1851462725

  OR

  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Jill Barlow, PA-C

  • Physician Assistant
  • Vancouver, WA
  • NPI 1568569143
  Medicare reassignment Care Compare group
• Patrick Knutson, PA-C

  • Physician Assistant
  • Vancouver, WA
  • NPI 1114746419

  OR

  Medicare reassignment Care Compare group
• Caroline Tse

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Portland, OR
  • NPI 1629202106

  WA

  Medicare reassignment NPD
• Charity Coppedge, PA-C

  • Physician Assistant
  • Vancouver, WA
  • NPI 1487261798
  Medicare reassignment

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1285012963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 SE 2ND CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846064",
            "telephone_number": "360-839-4532",
            "fax_number": "855-598-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 SE 2ND CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846064",
            "telephone_number": "360-839-4532",
            "fax_number": "855-598-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "RAGHURAM",
        "authorized_official_first_name": "AKHIL",
        "authorized_official_title_or_position": "MD, DIRECTOR",
        "authorized_official_telephone_number": "360-839-4532",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00045684",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OR",
            "license": "MD28263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "603 492 359",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vancouver Radiologists a Professional Corp
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• Vancouver School District
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• Vancouver Senior Living, LLC
• Vancouver Spinal Care
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• Vancouver Vein & Surgical Center
• Vancouver Voice Works PLLC
• Vancouver Wellness Clinic, LLC

• Sleep Medicine (Internal Medicine) Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Sleep Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.