Provider Demographics
NPI:1023301165
Name:PORTLAND HOME HEALTH CARE INC
Entity type:Organization
Organization Name:PORTLAND HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDULKADIR
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-473-1944
Mailing Address - Street 1:4525 SW GALEBURN ST
Mailing Address - Street 2:14
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5921
Mailing Address - Country:US
Mailing Address - Phone:503-473-1389
Mailing Address - Fax:
Practice Address - Street 1:4525 SW GALEBURN ST
Practice Address - Street 2:14
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-5921
Practice Address - Country:US
Practice Address - Phone:503-473-1389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health