Active NPI
Foothills Medical Supply, LLC
Doing business as SleepTech CPAP Supplies
- Oxygen Equipment & Supplies (DME)
- Salem, OR
National Provider Identifier
1285178210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 1687801-4
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115951 | Medicaid | OR | |
| 1285178210 | Medicaid | OR |
Other names 1
- SleepTech CPAP Supplies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170123000704 | OR | DME Supplier - Medical Supply Company | 2769764083 | Practice locations: Salem, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Foothills Medical Supply LLC | Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.