Healthcare Provider Details

I. General information

NPI: 1235040411
Provider Name (Legal Business Name): TULA CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 WILDFLOWER ST NE
SALEM OR
97301-3177
US

IV. Provider business mailing address

715 WILDFLOWER ST NE
SALEM OR
97301-3177
US

V. Phone/Fax

Practice location:
  • Phone: 503-607-7870
  • Fax:
Mailing address:
  • Phone: 503-607-7870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: AMAN TUSO
Title or Position: ADMINISTRATOR
Credential:
Phone: 503-607-7870