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Organization
KB LLC DBA SENIOR HELPERS OF PORTLAND
Active
Organization
KB LLC DBA SENIOR HELPERS OF PORTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLI ANN BRADLEY (OWNER/ADMINISTRATOR)
(503) 381-9194
Entity
Organization
Contact information
Practice address
407 NW 17TH AVE STE 16, PORTLAND, OR 97209-2249
(503) 892-1189
Mailing address
25 NW 23RD PL STE 6, PORTLAND, OR 97210-5580
(503) 892-1189
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2171
OR
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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