Organization
WILLAMETTE WELLNESS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NZITONDA NSENGIYUMVA (ORGANIZER)
(503) 928-0598
Entity
Organization
Contact information
Practice address
13700 SW 114TH AVE, TIGARD, OR 97223-3773
(503) 928-0598
Mailing address
13700 SW 114TH AVE, TIGARD, OR 97223-3773
(503) 928-0598
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
09/16/2025
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