Provider Demographics
NPI:1477713626
Name:COMPREHENSIVE SLEEP MEDICINE INC, PS
Entity Type:Organization
Organization Name:COMPREHENSIVE SLEEP MEDICINE INC, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-824-3362
Mailing Address - Street 1:22220 MARINE VIEW DR S
Mailing Address - Street 2:#200
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-6280
Mailing Address - Country:US
Mailing Address - Phone:206-824-3362
Mailing Address - Fax:206-824-2956
Practice Address - Street 1:16233 SYLVESTER RD SW
Practice Address - Street 2:#G70
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3045
Practice Address - Country:US
Practice Address - Phone:206-988-5779
Practice Address - Fax:206-246-2380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD0000363162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7117211Medicaid
WA7117211Medicaid