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Organization

SUPPLEMENTAL HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA HERRING (RECRUITING MANAGER)
(888) 317-1019
Entity
Organization

Contact information

Practice address
7320 SW HUNZIKER ST, SUITE 203, TIGARD, OR 97223-8283
(888) 317-1019
(888) 317-1020
Mailing address
7320 SW HUNZIKER ST, SUITE 203, TIGARD, OR 97223-8283
(888) 317-1019
(888) 317-1020

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
600445616
WA

Other

Enumeration date
09/18/2009
Last updated
09/18/2009
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