Provider Demographics
NPI:1225508369
Name:VALERIA HEALTH, LLC
Entity type:Organization
Organization Name:VALERIA HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-840-0671
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-0091
Mailing Address - Country:US
Mailing Address - Phone:503-847-9952
Mailing Address - Fax:
Practice Address - Street 1:2525 NW LOVEJOY ST STE 300
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2864
Practice Address - Country:US
Practice Address - Phone:503-847-9952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-02
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500759378Medicaid