EQUITABLE HEALTH SERVICES NPI 1073478483

NPI Information

  • NPI: 1073478483
  • Provider Name: EQUITABLE HEALTH SERVICES
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Organization
  • Address: 10354 NE WASCO ST
    PORTLAND, OR
    ZIP 97220
  • Phone: (503) 572-8705

Map and Directions

Get Directions

NPI Details

EQUITABLE HEALTH SERVICES is a licensed practical nurse in Portland, OR. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. EQUITABLE HEALTH SERVICES NPI is 1073478483. The provider is registered as an organization entity type.

The provider's business location address is:

10354 NE WASCO ST
PORTLAND, OR
ZIP 97220-927
Phone: (503) 572-8705

The provider's authorized official is Abraham Meressa .
The authorized official title is Executive Director and has the following contact phone number (503) 572-8705.

The enumeration date for this NPI number is 12/17/2025 and was last updated on 12/17/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2385H00000XRespite CareNo
3164W00000XLicensed Practical NurseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI