Organization
TP HARVEST HOMES OPERATIONS LLC
Active
Other names
DBA Harvest Homes Assisted Living: Harvest Homes Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
RAEANN VOORHIES RN (CEO)
(503) 348-8587
Entity
Organization
Contact information
Practice address
6921 N ROBERTS AVE, PORTLAND, OR 97203
(503) 286-2423
Mailing address
6921 N ROBERTS AVE, PORTLAND, OR 97203
(503) 286-2423
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502603
—
OR
05
—
503469
—
OR
05
—
521372
—
OR
05
—
529796
—
OR
05
—
529801
—
OR
01
—
529820
MEDICAID: SPECIAL NEEDS CONTRACT
OR
Enumeration date
06/19/2020
Last updated
03/26/2025
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