Organization Active NPI

Foothills Medical Supply, LLC

Doing business as SleepTech CPAP Supplies

  • Oxygen Equipment & Supplies (DME)
  • Salem, OR
National Provider Identifier
1285178210
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1687801-4 Issued in OR
Legal business name
FOOTHILLS MEDICAL SUPPLY, LLC
Doing business as
SleepTech CPAP Supplies
Practice address
200 Hawthorne Ave SE Ste A130
Salem, OR 97301-0074
Phone
(503) 496-5239
Fax
(503) 343-6554
NPI assigned
Dec 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Brady Nelson
Title
President
Phone
(503) 496-5239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1687801-4 OR Primary

Addresses

Primary practice location

200 Hawthorne Ave SE Ste A130
Salem, OR 97301-0074

Mailing address

8440 SE Sunnybrook Blvd Ste 208
Clackamas, OR 97015-5781
Phone (503) 496-5239

Other identifiers 2

IdentifierTypeStateIssuer
115951MedicaidOR
1285178210MedicaidOR

Other names 1

  • SleepTech CPAP Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170123000704 OR DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 2769764083 Practice locations: Salem, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Foothills Medical Supply LLC200 Hawthorne Ave SE, Salem, OR 97301-0074(503) 496-5239 Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices Accepts assignmentParticipating since Feb 13, 2017

National Provider Directory

National Provider Directory

Locations

200 Hawthorne Ave SE
Ste A130
Salem, OR 97301
Phone (503) 496-5239

304 N 1st St
Silverton, OR 97381
Phone (503) 873-4083

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1285178210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 SE SUNNYBROOK BLVD STE 208",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155781",
            "telephone_number": "503-496-5239",
            "fax_number": "503-343-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE AVE SE STE A130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010074",
            "telephone_number": "503-496-5239",
            "fax_number": "503-343-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-496-5239"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OR",
            "license": "1687801-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115951",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285178210",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SleepTech CPAP Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.