Whalio Doctors

NPI 1225568454

Goldstar Vascular Access, INC

Organisation Nursing Care Agency Gresham, OR

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
Agencies Taxonomy 251J00000X
Home Infusion Agency
Agencies Taxonomy 251F00000X

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.