Organization
NORTHWEST IN HOME HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELGELU B FELEMA (CO-OWNER/ADMINISTRATOR)
(503) 250-4685
Entity
Organization
Contact information
Practice address
20 NE 157TH AVE, PORTLAND, OR 97230-4823
(503) 250-4685
Mailing address
20 NE 157TH AVE, PORTLAND, OR 97230-4823
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500718920
—
OR
Enumeration date
11/05/2018
Last updated
11/05/2018
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