Organization
PNW AGING SPECIALTY SERVICES, LLC
Active
Organization
PNW AGING SPECIALTY SERVICES, LLC
Active
Other names
PNW Aging
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH YOURCHEK CNA (OWNER/ADMINISTRATOR)
(503) 488-0318
Entity
Organization
Contact information
Practice address
7720 NE VANCOUVER MALL DR STE 110, VANCOUVER, WA 98662-7918
(360) 883-3569
(360) 883-3568
Mailing address
7720 NE VANCOUVER MALL DR STE 110, VANCOUVER, WA 98662-7918
(360) 883-3569
(360) 883-3568
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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