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Organization

SIGNATURE HOME HEALTH BEND, LLC

Active
Other names
Signature Healthcare at Home
Organization subpart
No

Provider details

NPI number
Authorized official
MARY KOFSTAD NP (DIVISION PRESIDENT)
(971) 224-2033
Entity
Organization

Contact information

Practice address
454 NE REVERE AVE, BEND, OR 97701-4019
(541) 382-5050
(541) 527-1717
Mailing address
7632 SW DURHAM RD STE 105, TIGARD, OR 97224-7597

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
04/23/2020
Last updated
11/13/2025
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