NPI 1366266611

Indepencare LLC

Organisation Lodging Provider Clackamas, OR

Practice location

Address: 9123 SE Saint Helens St STE 100f, Clackamas, OR 97015-6800
Phone: (503) 740-6449
Mailing address: 10117 SE Sunnyside Rd # F1217, Clackamas, OR 97015-7708

Authorised official

Name: Paul Krummenacker
Title: Coo
Phone: (503) 913-3693

Registered specialties (6)

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Meals Provider

Other Service Providers Taxonomy 174200000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Home Delivered Meals

Suppliers Taxonomy 332U00000X

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Medical Foods Supplier

Suppliers Taxonomy 335G00000X

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Registry record

NPI: 1366266611
Entity type: Organization
NPI issued: 13 Nov 2024
Record last updated: 12 Jan 2025

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.