Innovative Senior Care Home Health of Portland LLC

NPI #1194980615 in Tualatin, Oregon

Provider Information

NPI Number: 1194980615
Entity Type: Organization
Organization Name: Innovative Senior Care Home Health of Portland LLC
Primary Specialty: Home Health
Enumeration Date: Jul 24, 2008
Last Updated: May 6, 2025

Practice Location

Address: 7750 SW MOHAWK STREET
Address 2: BLDG G, SUITE 7750
City: Tualatin
State: Oregon
ZIP Code: 97062-9191
Phone: (503) 582-9246

Authorized Official

Name: JOSHUA L. PROFFITT
Title: PRESIDENT
Phone: (337) 233-1307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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