Organization
GUARDIAN ANGEL CAREGIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MILLER CSA (PRESIDENT)
(503) 698-2020
Entity
Organization
Contact information
Practice address
11022 SE LENORE ST, HAPPY VALLEY, OR 97086-8790
(503) 698-2020
(503) 926-9303
Mailing address
PO BOX 33726, PORTLAND, OR 97292-3726
(503) 698-2020
(503) 926-9303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-2251
STATE LICENSE
OR
Enumeration date
05/17/2019
Last updated
05/17/2019
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