Provider Demographics
NPI:1275768483
Name:ARETE NW, LLC
Entity Type:Organization
Organization Name:ARETE NW, LLC
Other - Org Name:ARETE SLEEP HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
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 1:2460 NE GRIFFIN OAKS ST
Mailing Address - Street 2:SUITE D-1000
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-2672
Mailing Address - Country:US
Mailing Address - Phone:503-716-1685
Mailing Address - Fax:
Practice Address - Street 1:1150 CRATER LAKE AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6213
Practice Address - Country:US
Practice Address - Phone:541-672-8155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic