Organization
NP HOMECARE 4U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BATHSHEBA SHUNQUITA QUEEN BSN, MSN, JD (CEO)
(352) 321-0554
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(541) 585-9433
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(541) 585-9433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
05/08/2026
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