Organization
HEALTH AT HOME HOSPICE - PORTLAND, LLC
Active
Other names
Brookdale Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
29757 SW BOONES FERRY RD STE B, WILSONVILLE, OR 97070-7202
(503) 570-9766
(503) 685-9047
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
11/30/2021
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