Deut 1111

NPI #1720940091 in Beaverton, Oregon

Provider Information

NPI Number
1720940091
Entity Type
Organization
Organization Name
Deut 1111
Primary Specialty
In Home Supportive Care
Enumeration Date
Nov 25, 2025
Last Updated
Nov 25, 2025

Practice Location

Address
10478 SW MOUNT ADAMS DR
State
Oregon
ZIP Code
97007-8379
Phone
(971) 762-3132

Authorized Official

Name
TAMARA ALFONSO
Title
OWNER
Phone
(971) 762-3132

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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