MEDICARE: NORTHWEST HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	00177914	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205849965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST HOSPICE LLC

Provider Business Mailing Address
First Line	:	7632 SW DURHAM RD STE 105
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97224-7597
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7632 SW DURHAM RD
Second Line	:	SUITE 130
City	:	TIGARD
State	:	OR
Zip	:	97224-7584
Country	:	US
Telephone Number	:	800-936-4756
Fax Number	:	503-682-3989

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT THOMAS
Credential	:	PT, MSPT
Telephone Number	:	503-783-2473

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	11/13/2025

Similar Medicare Providers

1649234527 — CARMA J LEE MD
Practice Location Address:

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

Practice Phone: 503-261-8599
Practice Fax:

1639506421 — NORTHWEST PALLIATIVE CARE, LLC
Practice Location Address:

7632 SW DURHAM RD , SUITE 130
TIGARD, OR
97224-7584

Practice Phone: 800-936-4756
Practice Fax: 503-682-3989

1871972224 — CONNECTED HEALTHCARE, INC.
Practice Location Address:

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

Practice Phone: 503-261-8599
Practice Fax: 503-408-8922

1174038491 — MRS. LUIZA MARIA BROWN FNP-C
Practice Location Address:

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

Practice Phone: 800-936-4756
Practice Fax:

1154902831 — SIGNATURE HOSPICE PORTLAND, LLC
Practice Location Address:

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

Practice Phone: 800-936-4756
Practice Fax: 503-682-3989

1730811514 — LYDIA GEERTRUIDA SAWKA-LEENDERTSE
Practice Location Address:

7632 SW DURHAM RD
TIGARD, OR
97224-7584

Practice Phone: 503-783-2470
Practice Fax:

Directions to “NORTHWEST HOSPICE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.