Organization
WILLAMETTE VALLEY HOSPICE INC
Active
Other names
Willamette Valley Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LYNN DETHROW (FINANCE MANAGER)
(503) 779-2308
Entity
Organization
Contact information
Practice address
1015 3RD ST NW, SALEM, OR 97304-4007
(503) 588-3600
(503) 363-3891
Mailing address
1015 3RD ST NW, SALEM, OR 97304-4007
(503) 588-3600
(503) 363-3891
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
N/A
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112347
KAISER PERMANENTE
OR
05
—
132212
—
OR
01
—
8008493
REGENCE
OR
Enumeration date
07/29/2005
Last updated
01/09/2019
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