| NPI | 1023590841 |
|---|---|
| Doing Business As | HEALTHY AT HOME PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | DAVID GERALD HIBBS Fnp 503-917-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2020-11-09 |