Healthcare Provider Details

I. General information

NPI: 1417868977
Provider Name (Legal Business Name): TEFFT COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 PARKWAY PL UNIT 508
VANCOUVER WA
98660-3610
US

IV. Provider business mailing address

111 PARKWAY PL UNIT 508
VANCOUVER WA
98660-3610
US

V. Phone/Fax

Practice location:
  • Phone: 425-444-8338
  • Fax:
Mailing address:
  • Phone: 425-444-8338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EILEEN Y TEFFT
Title or Position: OWNER
Credential:
Phone: 425-444-8338