Provider Demographics
NPI:1710710090
Name:PINNACLE SLEEP CARE NORTHWEST LLC
Entity type:Organization
Organization Name:PINNACLE SLEEP CARE NORTHWEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FETNEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ETEMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-770-2288
Mailing Address - Street 1:14030 NE WOODINVILLE DUVALL RD
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8550
Mailing Address - Country:US
Mailing Address - Phone:425-424-0744
Mailing Address - Fax:425-424-3545
Practice Address - Street 1:14030 NE WOODINVILLE DUVALL RD
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8550
Practice Address - Country:US
Practice Address - Phone:425-424-0744
Practice Address - Fax:425-424-3545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment