Organization
WESTERN HEALTH RESOURCES
Active
Other names
ADVENTIST HEALTH PERSONAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL G WIEDEMANN (CONTROLLER)
(916) 781-4772
Entity
Organization
Contact information
Practice address
5835 NE 122ND AVE, SUITE 155, PORTLAND, OR 97230-1057
(503) 251-6303
(503) 251-6265
Mailing address
2100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3804
(916) 781-4772
(916) 774-3341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
394343
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509482
—
OR
Enumeration date
07/01/2006
Last updated
08/22/2020
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