Organization
TERWILLIGER PLAZA, INC.
Active
Other names
Ally by Terwilliger Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE GIBSON (CFO)
(503) 299-1225
Entity
Organization
Contact information
Practice address
2545 SW TERWILLIGER BLVD, PORTLAND, OR 97201-6302
(503) 808-7802
(503) 808-7804
Mailing address
2545 SW TERWILLIGER BLVD, PORTLAND, OR 97201-6302
(503) 808-7802
(503) 808-7804
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
152213
OR
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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