Organization
CP PORTLAND OR HOSPICE, LLC
Active
Other names
PROVIDENCE AT HOME WITH COMPASSUS HOSPICE CARE, WEST PORTLAND, PROVIDENCE AT HOME WITH COMPASSUS PALLIATIVE CARE, PORTLAND, PROVIDENCE AT HOME WITH COMPASSUS HOSPICE CARE, GORGE, Providence at Home with Compassus Hospice Care, East Portland, Providence at Home with Compassus Hospice Care, Yamhill, Providence at Home with Compassus Hospice Care, Portland
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI WARREN (CHIEF EXECUTIVE OFFICER)
(310) 480-2982
Entity
Organization
Contact information
Practice address
6410 NE HALSEY ST STE 300, PORTLAND, OR 97213-4759
(503) 215-2273
Mailing address
6410 NE HALSEY ST STE 300, PORTLAND, OR 97213-4759
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
02/24/2025
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