Healthcare Provider Details

I. General information

NPI: 1881654879
Provider Name (Legal Business Name): JHSO CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 MCCLAINE ST
SILVERTON OR
97381-1921
US

IV. Provider business mailing address

916 W EVERGREEN BLVD
VANCOUVER WA
98660-3035
US

V. Phone/Fax

Practice location:
  • Phone: 503-873-8391
  • Fax: 503-873-2900
Mailing address:
  • Phone: 360-213-2236
  • Fax: 360-213-2238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberRP0001078CS
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberRP0001078CS
License Number StateOR

VIII. Authorized Official

Name: KRISTI VEIS
Title or Position: VP OF PHARMACY
Credential:
Phone: 503-507-6073