Provider Demographics
NPI: | 1649152885 |
---|---|
Name: | NORTHWEST REST, LLC |
Entity type: | Organization |
Organization Name: | NORTHWEST REST, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SCHIEDLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 503-877-6202 |
Mailing Address - Street 1: | 14223 BRITTANY TER |
Mailing Address - Street 2: | |
Mailing Address - City: | OREGON CITY |
Mailing Address - State: | OR |
Mailing Address - Zip Code: | 97045-7168 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 971-373-3011 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 365 WARNER MILNE RD STE 209 |
Practice Address - Street 2: | |
Practice Address - City: | OREGON CITY |
Practice Address - State: | OR |
Practice Address - Zip Code: | 97045-4097 |
Practice Address - Country: | US |
Practice Address - Phone: | 503-495-6200 |
Practice Address - Fax: | 503-495-6202 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-07-21 |
Last Update Date: | 2025-08-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic |
No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |