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Organization

CARSON HOLDINGS, LLC

Active
Other names
Homewatch CareGivers of Portland
Organization subpart
No

Provider details

NPI number
Authorized official
ANDY DELAHUNTY (EXECUTIVE VICE PRESIDENT)
(503) 284-4440
Entity
Organization

Contact information

Practice address
3880 SE 8TH AVE STE 110, PORTLAND, OR 97202-3772
(503) 284-4440
(503) 281-4612
Mailing address
3880 SE 8TH AVE STE 110, PORTLAND, OR 97202-3772
(503) 284-4440
(503) 281-4612

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2184
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500655816
OR
05
500657085
OR
Enumeration date
08/13/2018
Last updated
04/19/2021
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