VANCOUVER SLEEP CENTER LLC NPI 1285012963

NPI Information

  • NPI: 1285012963
  • Provider Name: VANCOUVER SLEEP CENTER, LLC
  • Classification: Internal Medicine - 207RS0012X
  • Specialization: Sleep Medicine
  • Entity Type: Organization
  • CLIA Number: 50D1055267
  • Address: 12405 SE 2ND CIR
    VANCOUVER, WA
    ZIP 98684
  • Phone: (360) 839-4532

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NPI Details

VANCOUVER SLEEP CENTER, LLC is a sleep medicine internal medicine in Vancouver, WA. The provider is an Internist 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. VANCOUVER SLEEP CENTER, LLC NPI is 1285012963. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12405 SE 2ND CIR
VANCOUVER, WA
ZIP 98684-064
Phone: (360) 839-4532
Fax: (855) 598-3606

The provider's authorized official is Akhil Raghuram .
The authorized official title is Md, Director and has the following contact phone number (360) 839-4532.

The CLIA number assigned to this NPI record is 50D1055267 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2015 and was last updated on 2/28/2025.

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
1207RS0012XInternal MedicineSleep MedicineMD00045684WASHINGTONYes
2207RS0012XInternal MedicineSleep MedicineMD28263OREGONNo

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
1603 492 359OTHERWASHINGTONBUSINESS LICENSE

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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