National Provider Identifier Database

BROOKDALE HOSPICE LLC
Hospice Care, Community Based


Contact Information

BROOKDALE HOSPICE, LLC
29757 SW BOONES FERRY RD STE B
WILSONVILLE, OR97070-7202
Phone: 503-570-9766
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BROOKDALE HOSPICE, LLC

NPI Number 1033687371
Legal business name
LBN
BROOKDALE HOSPICE, LLC
Authorized official DONNIS EVANS - (MANAGER, REGULATORY PRACTICES)
Entity Organization
Organization subpart No
Enumeration date 11/05/2018
Last updated 05/14/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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