<Unavail>

LBN: December Roses, Llc
<Unavail> is an health care organization with primary practice located at 12740 Se Stark St Building F, Portland OR 97233-1539. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. December Roses, Llc can be contacted via phone (503) 257-7787, or through Harris, Jerry Norman via phone (503) 257-7787.

Contact Information

Primary practice address
12740 Se Stark St Building F Portland OR 97233-1539
Phone: (503) 257-7787
Fax: (888) 748-7787
Website:
Map and Directions
Authorized official contact:
Name: Harris, Jerry Norman MHSA
Phone: (503) 257-7787

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 15-2265 Oregon
Agencies / In Home Supportive Care 253Z00000X 60269071 Washington

Profile Details

NPI number 1629449392
LBN Legal business name December Roses, Llc
DBA Doing business as <Unavail>
Authorized official Harris, Jerry Norman MHSA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629449392 NPPES
Oregon Other 15-2265 OREGON HEALTH AUTHORITY PUBLIC HEALTH DIVISION
Oregon Other 60269071 OREGON HEALTH AUTHORITY PUBLIC HEALTH DIVISION

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