Individual provider · Type 1 NPI
Thomas Godfrey
Community Based Hospice Care Agency · Portland, OR
NPI number
1962955641
Active
Practice location
12725 SW 66th Ave Ste 107
Portland, OR 97223-2546
Fax (503) 430-8374
Mailing address
5200 S Highland Dr Ste 200
Holladay, UT 84117-7003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | None listed |
Community Based Hospice Care Agency: Definition to come...
About NPI 1962955641
Thomas Godfrey's National Provider Identifier is 1962955641, issued on Jul 28, 2016. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Portland, OR. The record was last updated on Feb 7, 2019.