Douglas Medical Equipment Supply

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

500643-94 Issued in OR

Legal business name

DOUGLAS MEDICAL EQUIPMENT SUPPLY

Doing business as

Dba Pacific Sleep Labs

Practice address

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

Phone

(541) 756-9014

Fax

(541) 756-9015

NPI assigned

May 7, 2015

Last updated

Sep 30, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

DOUGLAS MEDICAL EQUIPMENT SUPPLYAs reported in NPPES

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

Authorized official

Name

Mrs. Michele E Torvik

Title

Abct Coo

Phone

(541) 464-4492

Specialties & licenses 1

Addresses

Other names 1

• DBA PACIFIC SLEEP LABS Doing business as

Part of

Douglas Med Equipment

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1356729578",
    "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": "DOUGLAS MEDICAL EQUIPMENT SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS MEDICAL EQUIPMENT SUPPLY",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "TORVIK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ABCT COO",
        "authorized_official_telephone_number": "541-464-4492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OR",
            "license": "500643-94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA PACIFIC SLEEP LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coos Eye Centers, Inc. (Bandon Vision Center)
• Daniel James Desurra, L.AC
• John Dimaggio, DPM
• Susan Lynn Dimock, LCSW
• Anna Delaine Dodd, FNP
• Richard Charles Dowling Jr., D.M.D
• Kirsten Cassidy Dugan
• Rachel Lee Dugan, LMT
• Stephanie Ann Empson, FNP
• Evertide Counseling LLC

• 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 Sep 30, 2015; 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.