Organization
NORTHWEST COUNTRY PLACE INC
Active
Parent organization
NORTHWEST COUNTRY PLACE INC
Other names
Oakwood Home Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST COUNTRY PLACE INC
Authorized official
MR. KELLY J ODEGAARD (ADMINISTRATOR)
(503) 472-3141
Entity
Organization
Contact information
Practice address
421 SE EVANS ST, MCMINNVILLE, OR 97128-6111
(503) 472-3141
(503) 472-9334
Mailing address
421 SE EVANS ST, MCMINNVILLE, OR 97128-6111
(503) 472-3141
(503) 472-9334
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13-1202
OR
Other
Enumeration date
10/10/2006
Last updated
07/09/2010
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