Organization
EQUITABLE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM MERESSA (EXECUTIVE DIRECTOR)
(503) 572-8705
Entity
Organization
Contact information
Practice address
10354 NE WASCO ST, PORTLAND, OR 97220-3927
(503) 572-8705
Mailing address
10354 NE WASCO ST, PORTLAND, OR 97220-3927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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