Provider Demographics
NPI:1528653995
Name:NWCARE INC
Entity type:Organization
Organization Name:NWCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAZAD
Authorized Official - Middle Name:ASHRAF
Authorized Official - Last Name:BUKSH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:833-469-2692
Mailing Address - Street 1:1797 TIMBERLINE LN SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-9564
Mailing Address - Country:US
Mailing Address - Phone:833-469-2692
Mailing Address - Fax:833-342-1173
Practice Address - Street 1:1797 TIMBERLINE LN SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-9564
Practice Address - Country:US
Practice Address - Phone:503-551-8597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-07
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
R227869OtherMEDICARE PTAN
OR500796997Medicaid
EB5733OtherRAILROAD MEDICARE