Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI # | 1417056094 |
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| LBN Legal business name | SLEEP HEALTH & WELLNESS NW-HILLSBORO | ||||
| Authorized official | JAMES MACCIOLI - (CONTRACT SPECIALIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/21/2006 | ||||
| Last updated | 03/26/2008 - About 18 years ago | ||||
| Identifiers |
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