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INNOVATIVE SLEEP CENTERS PLLC NPI 1083925168


NPI Information

NPI: 1083925168
Provider Name: INNOVATIVE SLEEP CENTERS, PLLC

Former Legal Business Name: NORTHWEST NEUROLOGY AND MEMORY CLINIC

Classification: Psychiatry & Neurology - 2084S0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
260 LEE ST SW
TUMWATER, WA
ZIP 98501
Phone: (360) 754-3825
Get Directions

INNOVATIVE SLEEP CENTERS, PLLC is a sleep medicine psychiatry neurology in Tumwater, WA. The provider is a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. INNOVATIVE SLEEP CENTERS, PLLC NPI is 1083925168. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Northwest Neurology And Memory Clinic.

The provider's business location address is:

260 LEE ST SW
TUMWATER, WA
ZIP 98501-403
Phone: (360) 754-3825
Fax: (360) 754-3835

The provider's authorized official is Mehrdad Razavi .
The authorized official title is President and has the following contact phone number (425) 516-4749.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 7/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
22084S0012XPsychiatry & NeurologySleep MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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