Healthcare Provider Details

I. General information

NPI: 1710851233
Provider Name (Legal Business Name): AFFINITY CARE OF OREGON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 NE 78TH ST STE 10
VANCOUVER WA
98665-0697
US

IV. Provider business mailing address

3205 NE 78TH ST STE 10
VANCOUVER WA
98665-0697
US

V. Phone/Fax

Practice location:
  • Phone: 360-302-4600
  • Fax: 360-326-1572
Mailing address:
  • Phone: 360-302-4600
  • Fax: 360-326-1572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAMUEL STERN
Title or Position: CEO
Credential:
Phone: 510-499-9977