# TOUCHMARK AT FAIRWAY VILLAGE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Touchmark at Fairway Village Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144267667
- **Authorized official:** BRIAN EUGENE PRYOR (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (503) 646-5186

## Contact information

- **Practice address:** 2909 SE VILLAGE LOOP, VANCOUVER, WA 98683-8108
- **Practice address phone:** (360) 254-2866
- **Practice address fax:** (360) 883-3103
- **Mailing address:** 5150 SW GRIFFITH DR, BEAVERTON, OR 97005-2935
- **Mailing address phone:** (503) 646-5186
- **Mailing address fax:** (503) 644-3568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 011429 | WA | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 03/02/2021