Healthcare Provider Details

I. General information

NPI: 1871972224
Provider Name (Legal Business Name): CONNECTED HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7632 SW DURHAM RD STE 130
TIGARD OR
97224-7584
US

IV. Provider business mailing address

7632 SW DURHAM RD STE 130
TIGARD OR
97224-7584
US

V. Phone/Fax

Practice location:
  • Phone: 503-261-8599
  • Fax: 503-408-8922
Mailing address:
  • Phone: 503-261-8599
  • Fax: 503-408-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number161065
License Number StateOR

VIII. Authorized Official

Name: AMBER TUELLER
Title or Position: SECRETARY
Credential:
Phone: 208-207-2726