VANCOUVER SLEEP CENTER, LLC (NPI# 1285012963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285012963 |
| Entity Type | Organization |
| Organization Name | VANCOUVER SLEEP CENTER, LLC |
| Practice Address |
16219 Se 12th St Suite 206 Vancouver WA 98683-8904 |
| Practice Telephone | 3608394532 |
| Mailing Telephone | 3608394532 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | AKHIL RAGHURAM (MD, DIRECTOR) |
| Authorized Official Telephone | 3608394532 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MD28263 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MD00045684 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BUSINESS LICENSE | 603 492 359 | 01 |
| Street Address |
16219 SE 12TH ST SUITE 206 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-8904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340337 | Jodie L Paschall-majerus | Physical Therapist | 16219 Se 12th St, #100, Vancouver, WA 98683-8904 | 2006-03-21 |
| 1861824757 | Jessica Tamura | Physical Therapist | 16219 Se 12th St, Ste 100, Vancouver, WA 98683-8904 | 2013-08-02 |
| 1669715074 | Jennifer Sellers | Physical Therapist | 16219 Se 12th St, Ste 100, Vancouver, WA 98683-8904 | 2013-04-03 |
| 1598010050 | Tara Lynn Rinard | Physical Therapist | 16219 Se 12th St, #100, Vancouver, WA 98683-8904 | 2012-07-19 |
| 1710172291 | Joint Ventures Therapeutics PC | Clinic/Center | 16219 Se 12th St, Suite 100, Vancouver, WA 98683-8904 | 2007-09-07 |
| 1194843557 | Kathryn E Ralston | Physical Therapist | 16219 Se 12th St, Suite 100, Vancouver, WA 98683-8904 | 2007-03-26 |
| 1205896354 | John J Majerus | Physical Therapist | 16219 Se 12th St, Suite 100, Vancouver, WA 98683-8904 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| 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. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073850 | Sleep Insitute of Spokane, Pllc | Internal Medicine | 324 S Sherman St Ste 5, Spokane, WA 99202-1461 | 2020-02-03 |
| 1881074649 | The Polyclinic | Internal Medicine | 1414 10th Ave, Seattle, WA 98122-3857 | 2015-06-05 |
| 1114106945 | Teresa E. Jacobs, Md, Ps | Internal Medicine | 1380 112th Ave Ne Ste 307, Bellevue, WA 98004-3759 | 2007-10-29 |
| 1508078627 | John M Shima Md Ps | Internal Medicine | 460 West E St, Forks, WA 98331 | 2007-05-03 |
| 1700998747 | Usha K Reddi | Internal Medicine | 777 N 5th Ave Ste 106, Sequim, WA 98382-3080 | 2006-08-31 |
| 1578673703 | Stephen S Chung | Internal Medicine | 19 Southpoint Ln, Walla Walla, WA 99362-4175 | 2006-08-30 |
| 1639132871 | Frankie R Roman | Internal Medicine | 13020 Meridian Ave S, Everett, WA 98208 | 2006-04-10 |
| 1285633735 | Teresa E. Jacobs | Internal Medicine | 1380 112th Ave Ne #307, Bellevue, WA 98004-3759 | 2005-07-18 |
| 1023650314 | Us Home Sleep Test Pllc | Internal Medicine | 1414 116th Ave Ne Ste F, Bellevue, WA 98004-3801 | 2019-10-08 |
| 1336668839 | Memorial Physicians, Pllc | Internal Medicine | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.