Provider Demographics
NPI:1104401058
Name:RAHCO PORTLAND LLC
Entity type:Organization
Organization Name:RAHCO PORTLAND LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGULATORY SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILFOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-697-7537
Mailing Address - Street 1:6700 MERCY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2629
Mailing Address - Country:US
Mailing Address - Phone:402-697-7537
Mailing Address - Fax:
Practice Address - Street 1:6600 SW 105TH AVE STE 140
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-8837
Practice Address - Country:US
Practice Address - Phone:503-574-3674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care