Organization
HOUSECALL PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETH ANN HUSTED DO (MEDICAL DIRECTOR)
(970) 202-5500
Entity
Organization
Contact information
Practice address
5100 SW MACADAM AVE, SUITE 200, PORTLAND, OR 97239-6102
(971) 202-5500
(971) 202-5555
Mailing address
5100 SW MACADAM AVE, SUITE 200, PORTLAND, OR 97239-6102
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150916
—
OR
Enumeration date
06/02/2006
Last updated
01/24/2013
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