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NPI Code Detail

MEDICARE: EH OPERATIONS LLC

MEDICARE: EH OPERATIONS 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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1700541364
Entity Type Code : Organization
Provider Name (Legal Business Name) : EH OPERATIONS LLC
Provider Business Mailing Address
First Line : 3577 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-1561
Country : US
Telephone Number : 503-234-8585
Fax Number :
Provider Business Practice Location Address
First Line : 3577 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-1561
Country : US
Telephone Number : 503-234-8585
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARK REMLEY
Credential :
Telephone Number : 503-954-5534
Provider Enumeration Date : 11/08/2021
Last Update Date : 11/08/2021

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Directions to “EH OPERATIONS LLC ” Practice Location

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