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Contact Information

AFFORDABLE CARE NW, LLC
3609 SE 144TH AVE
PORTLAND, OR97236-2728
 Phone: 503-253-8458
 Fax: 503-257-0911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for AFFORDABLE CARE NW, LLC

NPI # 1033470133
LBN Legal business name AFFORDABLE CARE NW, LLC
Authorized official TOBY FORSBERG - (DIRECTOR/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2012
Last updated 06/05/2012 - About 14 years ago
Identifiers
OR License # 15-2249
OR Other 15-2249 OREGON DEPARTMENT OF HUMAN SERVICES
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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