Provider Demographics
NPI:1043955685
Name:NORTHWEST NEUROLOGY AND SLEEP CLINIC INC
Entity Type:Organization
Organization Name:NORTHWEST NEUROLOGY AND SLEEP CLINIC INC
Other - Org Name:NORTHWEST NEUROLOGY AND SLEEP CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHUNMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-823-0880
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-0735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8506 E MILL PLAIN BLVD STE B
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-2011
Practice Address - Country:US
Practice Address - Phone:360-823-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty