Organization
THRIVE AGE
Active
Other names
Thrive Guides
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY JEAN BANGS (OWNER/OPERATOR)
(503) 860-1655
Entity
Organization
Contact information
Practice address
3939 N MARINE DR SLIP 2, PORTLAND, OR 97217-7769
(503) 860-1655
Mailing address
3939 N MARINE DR SLIP 2, PORTLAND, OR 97217-7769
(503) 860-1655
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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