Southern Oregon Respiratory Testing LLC

Primary specialty

Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X

License

RT-P-10116572 Issued in OR

Legal business name

SOUTHERN OREGON RESPIRATORY TESTING LLC

Practice address

1215 NE 7TH St
Suite E-1
Grants Pass, OR 97526-1450

Phone

(877) 883-7862

Fax

(877) 583-7862

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Allan Mann, RRT

Title

Owner

Phone

(877) 883-7862

Specialties & licenses 1

Addresses

Other names 1

• o2tester Doing business as

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1619160348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "MERLIN",
            "state": "OR",
            "postal_code": "975320925",
            "telephone_number": "877-883-7862",
            "fax_number": "877-583-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NE 7TH ST",
            "address_2": "SUITE E-1",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261450",
            "telephone_number": "877-883-7862",
            "fax_number": "877-583-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON RESPIRATORY TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-883-7862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "2279P1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "OR",
            "license": "RT-P-10116572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "o2tester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Respiratory Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Registered Respiratory Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.