OrganizationActive
Innovative Sleep Centers PLLC
NPI 1083925168 · Sleep Medicine (Psychiatry & Neurology) Physician · Tumwater, WA
Provider details
- NPI number
- 1083925168
- Entity type
- Organization
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mehrdad Razavi, President(425) 516-4749
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
260 Lee St Sw
Tumwater, WA 98501-4403
Phone: (360) 754-3825
Fax: (360) 754-3835
Street-level locationGet directions
Mailing address
260 Lee St Sw
Tumwater, WA 98501-4403
Other names (DBA / former)
- Former legal business name
- Northwest Neurology and Memory Clinic
Registry dates
- Enumerated
- 2010-06-23
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.