1740048396 NPI number — CARING FOR COLUMBIA GORGE LLC

Table of content: (NPI 1740048396)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740048396 NPI number — CARING FOR COLUMBIA GORGE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING FOR COLUMBIA GORGE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740048396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2659 SW 4TH ST STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDMOND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97756-6406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-238-7500
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
403 PORTWAY AVE # 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOOD RIVER
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97031-1182
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-716-4471
Provider Business Practice Location Address Fax Number:
866-286-4280
Provider Enumeration Date:
03/08/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PAULINO
Authorized Official First Name:
KATHRYN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
541-238-7500

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)