Healthcare Provider Details

I. General information

NPI: 1043120637
Provider Name (Legal Business Name): CARING FOR COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 SW 53RD AVE
PORTLAND OR
97219-5838
US

IV. Provider business mailing address

10450 SW 53RD AVE
PORTLAND OR
97219-5838
US

V. Phone/Fax

Practice location:
  • Phone: 503-975-6145
  • Fax:
Mailing address:
  • Phone: 503-975-6145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RACHEL PRUSAK
Title or Position: NURSE PRACTITIONER/OWNER
Credential: APRN, FNP, FAAN
Phone: 503-975-6145