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General NPI Number Information
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NPI Number | 1689462988
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Entity Type | Organization
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Legal Business Name | MISSION HOSPICE SERVICES OF PORTLAND, LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 16083 SW UPPER BOONES FERRY RD STE 330
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City | TIGARD
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State | OR
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Zip | 97224-7736
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Country | US
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Telephone | 888-871-0766
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Fax |
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Provider Business Mailing Address
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Address Line | 2365 NORTHSIDE DR STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92108-2720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEVE MURPHY
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Credential |
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Telephone | 888-871-0766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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