NPI 1225568454
Goldstar Vascular Access, INC
Practice location
- Address
- 2870 NE Hogan Dr STE E #205, Gresham, OR 97030
- Phone
- (150) 351-6920
- Mailing address
- 1871 SE Ironwood Way, Gresham, OR 97080-3002
Authorised official
- Name
- David Ilnitskiy
- Title
- President
- Phone
- (503) 516-9205
Registered specialties (2)
Nursing Care Agency
Primary
Home Infusion Agency
Registry record
- NPI
- 1225568454
- Entity type
- Organization
- NPI issued
- 20 Jun 2017
- Record last updated
- 20 Jun 2017
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.