| NPI | 1053587006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KENEMER Owner/Operator 503-810-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2009-10-14 |