Organization
VENACARE NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK CAPOBIANCO NCPT (CEO)
(503) 878-5418
Entity
Organization
Contact information
Practice address
6464 SW BORLAND RD STE C5, TUALATIN, OR 97062-8856
(503) 878-5418
(888) 972-9515
Mailing address
6464 SW BORLAND RD STE C5, TUALATIN, OR 97062-8856
(503) 878-5418
(888) 972-9515
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787447
—
OR
Enumeration date
06/07/2020
Last updated
09/01/2023
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