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Contact Information

BRISTOL HOSPICE - OREGON LLC
12550 SE 93RD AVE STE 200
CLACKAMAS, OR97015-9747
 Phone: 503-698-8911
 Fax: 503-698-8988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for BRISTOL HOSPICE - OREGON LLC

NPI Number 1063780351
LBN Legal business name BRISTOL HOSPICE - OREGON LLC
Authorized official ALEX MAURICIO - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/01/2011
Last updated 09/24/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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