Provider Demographics
NPI:1518725670
Name:OREGON HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:OREGON HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHYNOWETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-252-8499
Mailing Address - Street 1:9955 SE ASH ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-2325
Mailing Address - Country:US
Mailing Address - Phone:503-252-8499
Mailing Address - Fax:
Practice Address - Street 1:9955 SE ASH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2325
Practice Address - Country:US
Practice Address - Phone:503-252-8499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care