HEALTHY AT HOME LLC NPI 1023590841

NPI Information

HEALTHY AT HOME LLC is a health service clinic center in Portland, OR. HEALTHY AT HOME LLC NPI is 1023590841. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthy At Home Providers.

The provider's business location address is:

3910 NE 99TH AVE
PORTLAND, OR
ZIP 97220-620
Phone: (503) 917-5928
Fax: (503) 917-5929

The provider's authorized official is David Gerald Hibbs .
The authorized official title is Fnp and has the following contact phone number (503) 917-5928.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 11/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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