Provider Demographics
NPI:1700962008
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 1:6263 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:480-282-6600
Practice Address - Street 1:2460 NE GRIFFIN OAKS ST
Practice Address - Street 2: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:2006-10-29
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR38117792-92OtherSEC OF STATE REGISTRATION
ORR137138Medicare PIN