Providence West Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2517 Issued in OR

Legal business name

PROVIDENCE WEST HOME HEALTH

Practice address

3601 SW Murray Blvd
Ste. 40
Beaverton, OR 97005-2354

Phone

(503) 216-2001

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Susan B. Allen, PT

Title

Supervisor

Phone

(503) 574-9428

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1659548782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW MURRAY BLVD",
            "address_2": "STE. 40",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052354",
            "telephone_number": "503-216-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW MURRAY BLVD",
            "address_2": "STE. 40",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052354",
            "telephone_number": "503-216-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE WEST HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "503-574-9428",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "2517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON PHYSICAL THERAPY LICENSING BOARD",
            "identifier": "2517",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.