| Transform Sleep Llc | |
|
150 Madrona Ave Se Salem OR 97302-4608 | |
| (503) 362-3719 | |
| Not Available |
| Full Name | Transform Sleep Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Madrona Ave Se, Salem, Oregon |
| Authorized Official Name and Position | Marc A Panet-raymond (DENTIST) |
| Authorized Official Contact | 5033623719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transform Sleep Llc 150 Madrona Ave Se Salem OR 97302-4608 Ph: (503) 362-3719 | Transform Sleep Llc 150 Madrona Ave Se Salem OR 97302-4608 Ph: (503) 362-3719 |
| NPI Number | 1447605506 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447605506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6920 (Oregon) | Primary |
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