NPI 1003093162
Genoa Healthcare LLC
Practice location
- Address
- 2045 Silverton Rd NE STE B, Salem, OR 97301-0100
- Phone
- (503) 364-3047
- Fax
- (503) 967-7165
- Mailing address
- 707 S Grady Way STE 400, Renton, WA 98057-3246
Authorised official
- Name
- Karen Bohmer
- Title
- Secretary
- Phone
- (224) 231-1833
Registered specialties (3)
Long Term Care Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1003093162
- Entity type
- Organization
- NPI issued
- 30 Jan 2008
- Record last updated
- 17 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.