| NPI | 1700681186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA K CVICKER Owner 503-979-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251G00000X Hospice Care, Community Based | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |