MEDICARE: TUALITY HEALTHCARE

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	261Q00000X	Clinic/Center

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	:	1558561456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUALITY HEALTHCARE

Provider Business Mailing Address
First Line	:	1400 SW 5TH AVE STE 500
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97201-5537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10245 NW GLENCOE RD
Second Line	:
City	:	NORTH PLAINS
State	:	OR
Zip	:	97133-8233
Country	:	US
Telephone Number	:	503-647-9261
Fax Number	:	503-647-1230

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	LORI JAMES-NIELSEN
Credential	:
Telephone Number	:	503-681-1177

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	12/03/2024

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Directions to “TUALITY HEALTHCARE ” Practice Location

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