NPIMap

Organization Active NPI

Sleepwell Partner LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Clackamas, OR
National Provider Identifier
1881870376
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
B0437803 Issued in OR
Legal business name
SLEEPWELL PARTNER LLC
Practice address
12901 SE 97TH Ave
Clackamas, OR 97015-7901
Phone
(503) 652-0067
Fax
(503) 652-0068
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Brandon Slavik
Title
Presedint
Phone
(909) 481-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X B0437803 OR Primary

Addresses

Primary practice location

12901 SE 97TH Ave
Clackamas, OR 97015-7901

Mailing address

10108 Foothill Blvd. #160-241
Rancho Cucamonga, CA 91730
Phone (909) 481-2577

Other identifiers 2

IdentifierTypeStateIssuer
247423MedicaidOR
P00417312OtherORMEDICARE RAILROAD

National Provider Directory

National Provider Directory
Tax ID family
Sleepwell Partner LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1881870376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 FOOTHILL BLVD. #160-241",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-481-2577",
            "fax_number": "909-291-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157901",
            "telephone_number": "503-652-0067",
            "fax_number": "503-652-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPWELL PARTNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SLAVIK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESEDINT",
        "authorized_official_telephone_number": "909-481-2577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OR",
            "license": "B0437803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247423",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00417312",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.