NPI 1043086002
Thrive Age
Practice location
- Address
- 3939 N Marine Dr Slip 2, Portland, OR 97217-7769
- Phone
- (503) 860-1655
Authorised official
- Name
- Polly Jean Bangs
- Title
- Owner/Operator
- Phone
- (503) 860-1655
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1043086002
- Entity type
- Organization
- NPI issued
- 30 Nov 2023
- Record last updated
- 30 Nov 2023
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.