Diana Elizabeth Gwinn, DD1 - Portland, OR

Diana Elizabeth Gwinn, DD1

Adult Care Home Facility in Portland, Oregon

NPI 1386122687

Diana Elizabeth Gwinn is an Adult Care Home Facility based in Portland, OR and is specialized in Adult Care Home. Diana Elizabeth Gwinn practices in Portland, OR and has the professional credentials of DD1. The NPI Number for Diana Elizabeth Gwinn is 1386122687 and holds a License No. 10465 (Oregon).

The current practice location address for Diana Elizabeth Gwinn is 16405 Ne Fargo Cir, Portland, OR and can be reached out via phone at 503-484-7287 and via fax at 503-210-5974.

Location: 16405 Ne Fargo Cir, Portland, OR, 97230-5513

NPI Number

1386122687

Provider Name

Diana Elizabeth Gwinn

Credential

DD1

Provider Entity Type

Individual

Gender

Female

Address

16405 Ne Fargo Cir, Portland, OR, 97230-5513

Phone Number

503-484-7287

Fax Number

503-210-5974

Provider Enumeration Date

07/30/2018

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
500745787	05	OR

Address

16405 Ne Fargo Cir

City

Portland

State

Oregon

Zip

97230-5513

Phone Number

503-484-7287

Fax Number

503-210-5974

Address

16405 Ne Fargo Cir

City

Portland

State

Oregon

Zip

97230-5513

Phone Number

503-484-7287

Fax Number

503-210-5974

Type

Nursing & Custodial Care Facilities

Classification

Custodial Care Facility

Speciality

Adult Care Home

Taxonomy

311ZA0620X

License No.

10465 (Oregon)

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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