Organization
CAREHERE LLC
Active
Parent organization
CAREHERE LLC
Other names
CAREHERE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAREHERE LLC
Authorized official
MR. ERNEST CLEVENGER (PRESIDENT)
(615) 221-5901
Entity
Organization
Contact information
Practice address
12106 NE AINSWORTH CIR STE 5, PORTLAND, OR 97220-9001
(615) 221-5901
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(615) 221-5901
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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