Organization
DIRECT NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES TANEOUS RN (MANAGER)
(503) 720-3006
Entity
Organization
Contact information
Practice address
8040 SW GREENHOUSE LN, PORTLAND, OR 97225-3869
(503) 720-3006
Mailing address
PO BOX 1607, BEAVERTON, OR 97075-1607
(503) 720-3006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15-2355
OR
251E00000X
Home Health Agency
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Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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