Provider Demographics
NPI:1487182457
Name:RIEDER CORP DBA ASSISTING HANDS HAPPY VALLEY
Entity Type:Organization
Organization Name:RIEDER CORP DBA ASSISTING HANDS HAPPY VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:THURSTON
Authorized Official - Last Name:RIEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-928-8353
Mailing Address - Street 1:8800 SE SUNNYSIDE RD STE 207N
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-5703
Mailing Address - Country:US
Mailing Address - Phone:503-928-8353
Mailing Address - Fax:503-928-8351
Practice Address - Street 1:8800 SE SUNNYSIDE RD STE 207N
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-5703
Practice Address - Country:US
Practice Address - Phone:503-928-8353
Practice Address - Fax:503-928-8351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15-2331253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR128308897OtherSTATE REGISTRY NUMBER