NPI 1457685794

Supplemental Health Care

Organisation Supports Brokerage Agency Tigard, OR

Practice location

Address: 7320 SW Hunziker St Suite 203, Tigard, OR 97223-8283
Phone: (888) 317-1019
Fax: (888) 317-1020

Authorised official

Name: Joshua Herring
Title: Recruiting Manager
Phone: (888) 317-1019

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 600445616 (WA)

Other Supports Brokerage providers in Oregon →

Registry record

NPI: 1457685794
Entity type: Organization
NPI issued: 18 Sep 2009
Record last updated: 18 Sep 2009

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.