| NPI | 1932680584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BRADETICH Staffing Coordinator 503-686-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OR 15-2229) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |