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Organization

HEALTHY AT HOME LLC

Active
Other names
Healthy at Home Providers
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GERALD HIBBS APRN (FNP)
(503) 917-5928
Entity
Organization

Contact information

Practice address
3910 NE 99TH AVE, PORTLAND, OR 97220-3620
(503) 917-5928
(503) 917-5929
Mailing address
3910 NE 99TH AVE, PORTLAND, OR 97220-3620
(503) 917-5928
(503) 917-5929

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OR
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
08/29/2018
Last updated
11/09/2020
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