Interim Healthcare of Oregon, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2225 Issued in OR

Legal business name

INTERIM HEALTHCARE OF OREGON, INC.

Practice address

9498 SW Barbur Blvd Ste 310
Portland, OR 97219-5423

Phone

(503) 761-6050

Fax

(503) 761-5425

NPI assigned

Mar 1, 2007

Organization subpart

Yes

Parent organization

INTERIM HEALTHCARE OF SPOKANE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Richard W Morris, RN

Title

Ceo and President

Phone

(509) 456-5665

Specialties & licenses 2

Addresses

Part of

Interim Health Care

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407984271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 SW KELLY AVE",
            "address_2": "SUITE #101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972397511",
            "telephone_number": "503-761-6050",
            "fax_number": "503-761-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9498 SW BARBUR BLVD STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195423",
            "telephone_number": "503-761-6050",
            "fax_number": "503-761-5425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Liberty St SE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024195",
            "country_code": "US",
            "telephone_number": "503-391-4225",
            "fax_number": "503-391-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF OREGON, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF SPOKANE, INC.",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "509-456-5665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2225",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.