Provider Demographics
NPI:1558088518
Name:STRAIGHTWAY SERVICES
Entity Type:Organization
Organization Name:STRAIGHTWAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:K
Authorized Official - Last Name:MINNIEWEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-960-9431
Mailing Address - Street 1:8900 NE VANCOUVER WAY
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-1350
Mailing Address - Country:US
Mailing Address - Phone:503-960-9431
Mailing Address - Fax:
Practice Address - Street 1:8900 NE VANCOUVER WAY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-1350
Practice Address - Country:US
Practice Address - Phone:503-960-9431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty