Organization · NPI-2

Breath Of Life Sleep Medicine PC

Family Medicine, Sleep Medicine · Coeur D Alene, ID

NPI number1144720061
StatusActive
Last updated in NPPESSep 24, 2026

Details

NPI
1144720061
Entity type
Organization (NPI-2)
Legal business name
Breath Of Life Sleep Medicine PC
Organization subpart
No
Enumeration date
Feb 16, 2018
Certification date
Sep 24, 2026
Last updated
Sep 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS1201X Family Medicine, Sleep Medicine––Yes

Practice location

1717 Lincoln Way Ste 201
Coeur D Alene, ID 83814-2556

Phone 208-758-9699 · Fax 208-758-8535

Mailing address

1717 Lincoln Way Ste 201
Coeur D Alene, ID 83814-2556

Phone 208-699-7644

Other practice locations

12410 E Sinto Ave Ste D
Spokane Valley, WA 99216-2199

Phone 509-892-1313 · Fax 509-892-1515

Authorized official

Mary Alice Elizabeth Jaeger
President
2087589699

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