Organization Active NPI

PDX Sleep Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Clackamas, OR
National Provider Identifier
1922138197
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PDX SLEEP SOLUTIONS, LLC
Practice address
12901 SE 97TH Ave
Clackamas, OR 97015-7901
Phone
(503) 652-0067
Fax
(503) 652-0068
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Brandon Slavik
Title
Chief Financial Officer
Phone
(949) 863-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12901 SE 97TH Ave
Clackamas, OR 97015-7901

Mailing address

10808 Foothill Blvd
Suite 160
Rancho Cucamonga, CA 91730-3889
Phone (909) 481-2577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1922138197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD",
            "address_2": "SUITE 160",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "909-481-2577"
        },
        {
            "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": "PDX SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SLAVIK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-863-0490"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 7, 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.