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NPI 1578425641

NPI 1578425641 : NAOMI 24 HOURS RESIDENTIAL SERVICES LLC : BEAVERTON, OR

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General NPI Number Information
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    NPI Number           |    1578425641
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAOMI 24 HOURS RESIDENTIAL SERVICES LLC 
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Dates
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    Enumeration Date     |    11/26/2025
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    Last Update Date     |    11/26/2025
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Provider Practice Location Address
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    Address Line         |    18290 SW BROAD OAK CT 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97007-4618
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    Country              |    US
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    Telephone            |    571-216-7536
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    Fax                  |    971-384-1999
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Provider Business Mailing Address
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    Address Line         |    18290 SW BROAD OAK CT 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97007-4618
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    Country              |    US
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    Telephone            |    571-216-7536
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    Fax                  |    971-384-1999
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     ABERA  OBESIE 
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    Credential           |    RN BSN
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    Telephone            |    571-216-7536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    364SL0600X
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    Taxonomy Name        |    Long-Term Care Clinical Nurse Specialist
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    License Number       |    
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    License Number State |    
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