Contact Us

Expert Sleep Apnea Care You Can Trust!

We encourage you to contact us via phone or email. Please use the contact form below to contact us via email. For directions to the office, please click the map below. If you have any questions or comments, please feel free to get in touch. We’re always happy to hear from you!

We are excited to see you! In order to best serve you, we have created this form to facilitate scheduling an appointment that best fits your schedule. Please complete all of the following questions. We will check our calendar availability and call you to coordinate and confirm a convenient time for you.
Name*
First Last
Date of Birth*
Address*
Street AddressAddress Line 2City
State / Province / Region ZIP / Postal Code

Country
Phone Number*
Email*
Are You a New Patient?*
- Yes
- No

Primary Medical Insurance Information
Name of Company*
Member / Subscriber ID*
Group #*
Provider Services Phone Number*
Referred By:
Approximate Age of Current Oral Appliance
Additional Information
Preferred Day of the Week?*
- Select All
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
What time of day do you prefer (Mornings or Afternoons)?*
Would You Briefly Describe Your Situation? (Optional)

Phone: (971) 339-0816

Email: [email protected]

Address:

9370 SW Greenburg Rd, Suite 422, Portland, 97223

MON9:30 am-5:00 pm
TUEBy appointments only
WED - THU9:30 am-5:00 pm
FRI - SUNClosed

Expert Sleep Apnea Care You Can Trust!

Primary Medical Insurance Information

Additional Information

Address:

Working Hours

Portland