Provider Demographics
NPI:1164425823
Name:CPAP RESOURCE, LLC
Entity Type:Organization
Organization Name:CPAP RESOURCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEANE
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:541-282-9944
Mailing Address - Street 1:2940 PENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-5176
Mailing Address - Country:US
Mailing Address - Phone:541-282-9944
Mailing Address - Fax:541-282-2245
Practice Address - Street 1:2940 PENNINGTON DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-5176
Practice Address - Country:US
Practice Address - Phone:541-282-9944
Practice Address - Fax:541-282-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27037498332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR5429040001Medicare NSC