| NPI | 1487182457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY THURSTON RIEDER Owner/President 503-928-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OR 15-2331) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |