PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS LLC NPI 1174841183

NPI Information

  • NPI: 1174841183
  • Provider Name: PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS LLC
  • Classification: Clinic/Center - 261QS1200X
  • Specialization: Sleep Disorder Diagnostic
  • Entity Type: Organization
  • Address: 780 2ND ST SE STE 3
    BANDON, OR
    ZIP 97411
  • Phone: (541) 756-9014

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NPI Details

PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS LLC is a sleep disorder diagnostic clinic center in Bandon, OR. PACIFIC SLEEP & RESPIRATORY DIAGNOSTICS LLC NPI is 1174841183. The provider is registered as an organization entity type.

The provider's business location address is:

780 2ND ST SE STE 3
BANDON, OR
ZIP 97411-354
Phone: (541) 756-9014
Fax: (541) 756-9015

The provider's authorized official is Darrel Woodruff .
The authorized official title is Member Manager and has the following contact phone number (541) 756-9014.

The enumeration date for this NPI number is 5/14/2010 and was last updated on 2/23/2012.

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
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R158158MEDICARE PINOREGON

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: 11/21/2025

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