Provider Demographics
NPI:1407985559
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: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 1:6263 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 395
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-5406
Mailing Address - Country:US
Mailing Address - Phone:480-282-6500
Mailing Address - Fax:
Practice Address - Street 1:1409 FRANKLIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2899
Practice Address - Country:US
Practice Address - Phone:360-213-1301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500614073Medicaid
WA5942290003Medicare NSC