Pacific Northwest Sleep Centers, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PACIFIC NORTHWEST SLEEP CENTERS, LLC

Practice address

702 Church St NE
Suite B
Salem, OR 97301-2404

Phone

(503) 540-4052

Fax

(503) 540-4054

NPI assigned

Dec 10, 2008

Last updated

Jun 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James O'Keefe, BA

Title

Chief Operating Officer

Phone

50355404052

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Molly Aultz, FNP

  • Family Nurse Practitioner
  • Clackamas, OR
  • NPI 1225197635
  NPD (past)
• Beal Essink, MD

  • Psychiatry Physician
  • Salem, OR
  • NPI 1215115894
  NPD (past)
• Mark D Reploeg, M.D.

  • Clinical Neurophysiology Physician
  • Corvallis, OR
  • NPI 1831148592
  NPD (past)
• Alan S. Yeo, M.D., MPH

  • Psychiatry Physician
  • Milwaukie, OR
  • NPI 1417983628
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1942445523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CHURCH ST NE",
            "address_2": "SUITE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012404",
            "telephone_number": "503-540-4052",
            "fax_number": "503-540-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CHURCH ST NE",
            "address_2": "SUITE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012404",
            "telephone_number": "503-540-4052",
            "fax_number": "503-540-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST SLEEP CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "50355404052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500605759",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Family Medical Center LLC
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Northwest Counseling & Consultation LLC
• Pacific Northwest Living LLC
• Pacific Northwest Medical Transport Service, Inc
• Pacific Obstetrics & Gynecology, L.L.C.
• Pacific Pathology Associates, Inc
• Pacific Pathology Associates, Inc
• Pacific Pathology Associates, Inc.
• Pacific Premier Care Home LLC

• Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.