Mt. Scott Sleep Medicine, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MT. SCOTT SLEEP MEDICINE, INC.

Practice address

9200 SE 91St Ave
Suite 240
Portland, OR 97086-3756

Phone

(971) 244-0045

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lee Roberts, DO

Title

President

Phone

(503) 233-5548

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1861649675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "971-244-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "971-244-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SCOTT SLEEP MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-233-5548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Tabor SNF Operations LLC
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• Mt. Hood Imaging, LLC
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• Mt. Tabor Family Medical Group, P.C.
• Mt. Tabor Family Medical Group, PC
• Mta Homes at St. Andrews LLC
• MTN. Retreat Secured Transport
• Kristine Mua, RN

• Sleep Disorder Diagnostic Clinic/Center in Portland, OR
• Providers in Portland, 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 Mar 21, 2013; 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.