Organization
ST. MARY OF BETHANY - THE HELPING HANDS - IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRISTITO SANTOS VELASCO ED. D (ADMINISTRATOR)
(541) 992-0709
Entity
Organization
Contact information
Practice address
12655 SW CENTER ST STE 470, BEAVERTON, OR 97005-1690
(503) 746-6190
(503) 746-6849
Mailing address
12655 SW CENTER ST STE 470, BEAVERTON, OR 97005-1690
(503) 746-6190
(503) 746-6849
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152372
—
OR
Enumeration date
12/07/2018
Last updated
12/07/2018
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