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Organization
CARSON HOLDINGS, LLC
Active
Organization
CARSON HOLDINGS, LLC
Active
Other names
Homewatch CareGivers of Portland
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY DELAHUNTY (EXECUTIVE VICE PRESIDENT)
(503) 284-4440
Entity
Organization
Contact information
Practice address
3880 SE 8TH AVE STE 110, PORTLAND, OR 97202-3772
(503) 284-4440
(503) 281-4612
Mailing address
3880 SE 8TH AVE STE 110, PORTLAND, OR 97202-3772
(503) 284-4440
(503) 281-4612
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2184
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655816
—
OR
05
—
500657085
—
OR
Enumeration date
08/13/2018
Last updated
04/19/2021
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