Signature Hospice Portland, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SIGNATURE HOSPICE PORTLAND, LLC

Doing business as

Signature Healthcare at Home

Practice address

7632 SW Durham Rd Ste 130
Tigard, OR 97224-7584

Phone

(800) 936-4756

Fax

(503) 682-3989

NPI assigned

Apr 15, 2021

Last updated

Nov 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Kofstad, NP

Title

Division President

Phone

(971) 224-2033

Specialties & licenses 1

Addresses

Other names 1

• Signature Healthcare at Home Doing business as

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1154902831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 SW DURHAM RD STE 105",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 SW DURHAM RD STE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247584",
            "telephone_number": "800-936-4756",
            "fax_number": "503-682-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 20th St SE Ste 306",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973021205",
            "country_code": "US",
            "telephone_number": "503-364-0347",
            "fax_number": "503-364-9948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNATURE HOSPICE PORTLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "KOFSTAD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "971-224-2033",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher R Sierk, D.D.S.
• Shana Sierra, CADC II
• Ericka Siewert, BS, RDH, EPDH
• Andrea Siferd
• Bradley E Sigafoose, LPC
• Signature Oregon Dental Partners PC (Broadway Family Dentistry)
• Valerie Siira, M.ED.
• Malia Palealofa Silia
• David G Silvestre, MD
• Tanner Lee Silvis

• Community Based Hospice Care Agency in Tigard, OR
• Providers in Tigard, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.