Organization
TRIUNE IN-HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN LENNA HILFIKER REGISTERED NURSE (ADMINISTRATOR/ OWNER)
(503) 253-9041
Entity
Organization
Contact information
Practice address
14516 E BURNSIDE ST, PORTLAND, OR 97233-2142
(503) 253-9041
(503) 254-2140
Mailing address
14516 E BURNSIDE ST, PORTLAND, OR 97233-2142
(503) 253-9041
(503) 254-2140
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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