| NPI | 1194230870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TANEOUS Manager 503-720-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OR 15-2355) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |