Provider Demographics
NPI:1669259586
Name:AFFORDABLE STAFFING 365, LLC
Entity type:Organization
Organization Name:AFFORDABLE STAFFING 365, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:R
Authorized Official - Last Name:STACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-805-3304
Mailing Address - Street 1:9780 SW SHADY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5479
Mailing Address - Country:US
Mailing Address - Phone:971-416-2607
Mailing Address - Fax:
Practice Address - Street 1:9780 SW SHADY LN STE 100
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5479
Practice Address - Country:US
Practice Address - Phone:971-416-2607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care