Organization
PROFESSIONAL HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA LOUISE SNELL (PRESIDENT)
(503) 256-3139
Entity
Organization
Contact information
Practice address
16370 NE THOMPSON ST, PORTLAND, OR 97230-5542
(503) 256-3139
(503) 256-4661
Mailing address
16370 NE THOMPSON ST, PORTLAND, OR 97230-5542
(503) 256-3139
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/08/2007
Last updated
12/08/2007
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