Organization
KB LLC DBA SENIOR HELPERS OF PORTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLI ANN BRADLEY (OWNER/ADMINISTRATOR)
(503) 381-9194
Entity
Organization
Contact information
Practice address
407 NW 17TH AVE STE 16, PORTLAND, OR 97209-2249
(503) 892-1189
Mailing address
25 NW 23RD PL STE 6, PORTLAND, OR 97210-5580
(503) 892-1189
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2171
OR
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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