PNW IV Hydration LLC

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

Legal business name

PNW IV HYDRATION LLC

Practice address

6297 NE Sherborne St
Hillsboro, OR 97124-7321

Phone

(916) 479-5235

NPI assigned

Jan 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Caroline Greene, FNP-C

Title

Medical Director

Phone

(916) 271-7445

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1104697176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6297 NE SHERBORNE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247321",
            "telephone_number": "916-479-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6297 NE SHERBORNE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247321",
            "telephone_number": "916-479-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW IV HYDRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-271-7445",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Plato, MA, QMHP
• William Platt, M.D.
• Anna Plemmons, LMT
• William Kenneth Plewes, D.C.
• Michelle M. Pliske, MSW LCSW RPT
• Chelsea Pogue
• Rebecca Poliskin, MD
• Heather Dawn Poliszuk, NP
• Darrell Martin Polster, MD
• Jenny Elizabeth Pompilio, M.D.

• Infusion Therapy Registered Nurse in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Infusion Therapy Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.