| Westside Sleep Center, Llc | |
|
7450 Sw Beveland St Suite 120 Tigard OR 97223 | |
| (503) 639-7000 | |
| (503) 639-7006 |
| Full Name | Westside Sleep Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7450 Sw Beveland St, Tigard, Oregon |
| Authorized Official Name and Position | Scott D Fromherz (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5036397000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Sleep Center, Llc 7450 Sw Beveland St Suite 120 Tigard OR 97223 Ph: (503) 639-7000 | Westside Sleep Center, Llc 7450 Sw Beveland St Suite 120 Tigard OR 97223 Ph: (503) 639-7000 |
| NPI Number | 1104069319 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 2860659836 |
|---|---|
| Medicare Enrollment ID | O20120202000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104069319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | MD26006 (Oregon) | Primary |
| Provider Name | Scott D Fromherz |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1689627135 PECOS PAC ID: 7315971694 Enrollment ID: I20050926000839 |
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