NPI 1912850488

Ebenezer 24-Hr Residential Service LLC

Organisation Nursing Care Agency Milwaukie, OR

Practice location

Address: 4711 SE Lake Rd, Milwaukie, OR 97222-4745
Phone: (971) 678-2102

Authorised official

Name: Tiya Wakjira
Title: Owner
Phone: (971) 678-2102

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X

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Registry record

NPI: 1912850488
Entity type: Organization
NPI issued: 16 Feb 2026
Record last updated: 16 Feb 2026

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.