Organization
NORTHWEST HOSPICE, LLC
Active
Other names
Signature Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMAS PT, MSPT (PRESIDENT)
(503) 783-2473
Entity
Organization
Contact information
Practice address
1000 S 16TH ST STE C, PAYETTE, ID 83661-3403
(208) 642-9222
(208) 642-9224
Mailing address
25117 SW PARKWAY AVE STE F, WILSONVILLE, OR 97070-9697
(503) 682-2132
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20004431
MEDICARE PART B
ID
Enumeration date
12/18/2013
Last updated
11/13/2025
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