Provider Demographics
NPI:1467703181
Name:MATTRESS WORLD NORTHWEST
Entity Type:Organization
Organization Name:MATTRESS WORLD NORTHWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:H
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-594-0550
Mailing Address - Street 1:9023 SE JANNSEN RD
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-9629
Mailing Address - Country:US
Mailing Address - Phone:503-594-0550
Mailing Address - Fax:
Practice Address - Street 1:9023 SE JANNSEN RD
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9629
Practice Address - Country:US
Practice Address - Phone:503-594-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies