Provider Demographics
NPI:1083947097
Name:NORTH AMERICA MATTRESS CORPORATION
Entity Type:Organization
Organization Name:NORTH AMERICA MATTRESS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LACEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-655-6163
Mailing Address - Street 1:PO BOX 2109
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-2109
Mailing Address - Country:US
Mailing Address - Phone:503-655-6163
Mailing Address - Fax:888-689-6227
Practice Address - Street 1:10768 SE HIGHWAY 212
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9164
Practice Address - Country:US
Practice Address - Phone:503-655-6163
Practice Address - Fax:888-689-6227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment