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LEGACY VISITING NURSE ASSOCIATION

Hospice, Inpatient

Portland, Oregon

Provider NPI: 1861413452

Organization Information:
Organization Name:  LEGACY VISITING NURSE ASSOCIATION


Practice Location:
815 NE DAVIS ST  PORTLAND, OR 97232 US
Tel: 503-225-6372  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
NA
Y251G00000XAgencies
Hospice Care, Community Based
NA

Other Provider Identifiers:

IssuerNumberStateType
REGENCE BLUE CROSS054643OR01
132238OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




HOSPICE JOBS OR - Page 1



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