| Pacific Northwest Home Health Llc | |
|
1124 Ne Burnside Rd Gresham OR 97030-5711 | |
| (503) 512-9358 | |
| Not Available |
| Full Name | Pacific Northwest Home Health Llc |
|---|---|
| Speciality | Home Health |
| Location | 1124 Ne Burnside Rd, Gresham, Oregon |
| Authorized Official Name and Position | Kimberly Swan Suek (OWNER) |
| Authorized Official Contact | 5039548263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwest Home Health Llc 12442 Se Lusted Rd Sandy OR 97055-7556 Ph: (503) 954-8263 | Pacific Northwest Home Health Llc 1124 Ne Burnside Rd Gresham OR 97030-5711 Ph: (503) 512-9358 |
| NPI Number | 1134964257 |
|---|---|
| Provider Enumeration Date | 06/29/2024 |
| Last Update Date | 06/29/2024 |
| Certification Date | 06/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134964257 | NPI | - | NPPES |
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