Healthcare Provider Details

I. General information

NPI: 1861317000
Provider Name (Legal Business Name): GRATITUDE NURSING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27986 S KINZY RD
ESTACADA OR
97023-8944
US

IV. Provider business mailing address

27986 S KINZY RD
ESTACADA OR
97023-8944
US

V. Phone/Fax

Practice location:
  • Phone: 360-566-3695
  • Fax: 503-630-3581
Mailing address:
  • Phone: 360-566-3695
  • Fax: 503-630-3581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KARINA BUTCHER
Title or Position: OWNER
Credential: RN
Phone: 360-566-3695