Valentina Brichuk
Individual provider Active NPI Home Health Aide · Keizer, OR
NPI 1992361323 · NPPES record last updated May 10, 2019
Key facts
- NPI
- 1992361323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1098 Clearview Ave NE
Keizer, OR 97303-4870 - Phone
- (503) 580-4963
- Fax
- (503) 399-0891
- NPI assigned
- May 10, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | OR | ||
| Home Health Aide | 374U00000X | OR | Yes |
Addresses
Primary practice location
1098 Clearview Ave NE
Keizer, OR 97303-4870
Mailing address
1098 Clearview Ave NE
Keizer, OR 97303-4870
Phone (503) 580-4963
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.