Organization
PEACEHEALTH
Active
Other names
Sacred Heart Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SEIRER (SYS VP FIN INTEGRIT/CONTROLLER)
(360) 729-1132
Entity
Organization
Contact information
Practice address
677 E 12TH AVE, SUITE N-170, EUGENE, OR 97401-3600
(458) 205-7200
(458) 205-7215
Mailing address
1115 SE 164TH AVE DEPT 328, VANCOUVER, WA 98683-8003
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122767
—
OR
Enumeration date
11/09/2005
Last updated
08/01/2023
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