Whalio Doctors

NPI 1972256170

Jona Group Homes LLC

Organisation PACE Provider Organization Portland, OR

Practice location

Address
17512 NE Glisan St, Portland, OR 97230-6502
Phone
(978) 996-0635
Fax
(971) 407-3978

Authorised official

Name
Nancy M Nganga
Title
Director
Phone
(978) 996-0635

Registered specialties

Registry record

NPI
1972256170
Entity type
Organization
NPI issued
28 Jan 2022
Record last updated
28 Jan 2022

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.