Organization
AFFORDABLE CARE NW, LLC
Active
Other names
Helping Hands Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBY DAVID FORSBERG (DIRECTOR/PRESIDENT)
(503) 442-3990
Entity
Organization
Contact information
Practice address
3609 SE 144TH AVE, PORTLAND, OR 97236-2728
(503) 253-8458
(503) 257-0911
Mailing address
3609 SE 144TH AVE, PORTLAND, OR 97236-2728
(503) 253-8458
(503) 257-0911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
15-2249
OR
253Z00000X
In Home Supportive Care Agency
Primary
15-2249
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-2249
OREGON DEPARTMENT OF HUMAN SERVICES
OR
Enumeration date
06/05/2012
Last updated
06/05/2012
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