Healthcare Provider Details

I. General information

NPI: 1306656145
Provider Name (Legal Business Name): HITE VC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 SE 91ST AVE STE 220
HAPPY VALLEY OR
97086-3756
US

IV. Provider business mailing address

9200 SE 91ST AVE STE 220
HAPPY VALLEY OR
97086-3756
US

V. Phone/Fax

Practice location:
  • Phone: 971-484-4940
  • Fax: 971-484-4950
Mailing address:
  • Phone: 971-484-4940
  • Fax: 971-484-4950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATIE A. VAHLE
Title or Position: OWNER
Credential:
Phone: 917-484-4940