Provider Demographics
NPI:1982139051
Name:HEALTHEZ2U LLC
Entity Type:Organization
Organization Name:HEALTHEZ2U LLC
Other - Org Name:HEALTH EZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-858-7403
Mailing Address - Street 1:3838 SE SAINT ANDREWS PL
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-8421
Mailing Address - Country:US
Mailing Address - Phone:503-858-7403
Mailing Address - Fax:
Practice Address - Street 1:3838 SE SAINT ANDREWS PL
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-8421
Practice Address - Country:US
Practice Address - Phone:503-858-7403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center