Organization
SEASTAR SENIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKI TUCKER LMSW (DIRECTOR)
(503) 583-2292
Entity
Organization
Contact information
Practice address
12740 SE STARK ST, PORTLAND, OR 97233-1539
(503) 583-2292
Mailing address
PO BOX 33382, PORTLAND, OR 97292-3382
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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