| NPI | 1295541738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE RYAN Sole Member 503-479-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |