Provider Demographics
NPI:1275662322
Name:ARETE SLEEP THERAPY NW LLC
Entity Type:Organization
Organization Name:ARETE SLEEP THERAPY NW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-282-6532
Mailing Address - Street 1:PO BOX 840414
Mailing Address - Street 2:SUITE 395
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0414
Mailing Address - Country:US
Mailing Address - Phone:480-282-6531
Mailing Address - Fax:
Practice Address - Street 1:2460 NE GRIFFIN OAKS ST
Practice Address - Street 2:SUITE D-1000
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-2672
Practice Address - Country:US
Practice Address - Phone:503-352-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500603976Medicaid
OR500603976Medicaid