Organization
NORTHWEST HABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY DELAHUNTY (CEO)
(801) 319-4054
Entity
Organization
Contact information
Practice address
3880 SE 8TH AVE STE 110, PORTLAND, OR 97202-3772
(503) 284-4440
Mailing address
3880 SE 8TH AVE STE 110, PORTLAND, OR 97202-3772
(503) 284-4440
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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