NORTHWEST HOSPICE LLC
Agencies at Durham Rd, Portland, OR

License number
Oregon 00177914
Category
Agencies
Type
Hospice Care, Community Based
Owner
Name: MR. ROBERT THOMAS PT, MSPT
Title: PRESIDENT
Phone: (503) 783-2473
Address
Address 2
7632 SW Durham Rd SUITE 130, Portland, OR 97224
25117 SW Parkway Ave SUITE F, Charbonneau, OR 97070
National Provider ID: 1205849965
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NORTHWEST HOSPICE LLC at bizstanding.com

Northwest Hospice, LLC

Charbonneau, OR

Industry:
Intermediate Care Facility
Doing business as:
Signature Hospice<br>Xl Hospice
Registration:
Feb 13, 2015
Addresses:
25117 SW Pkwy STE F, Wilsonville, OR 97070 (Physical)
25117 SW Pkwy Ave, Charbonneau, OR 97070
State ID:
2015-000680890
Business type:
Limited Liability Company - Foreign
Expiration:
Perpetual
Operations Staff, Vice-Presidents:
Bob Thomas (President),Anjie Berryman (Operations Staff, Vice-President)
Agent:
National Registered Agents, Inc,388 State St SUITE 420, Salem, OR 97301 (Physical)

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