Ddchealth, LLC
Clinic/Center, Primary Care in Portland, OR. Organization (NPI-2).
NPI number1154985752
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1154985752
- Entity type
- Organization (NPI-2)
- Legal business name
- Ddchealth, LLC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2019
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
80 Se Madison St Ste 150Portland, OR 97214-4527
Phone 971-206-9211 · Fax 877-420-5510
Mailing address
80 Se Madison St Ste 150Portland, OR 97214-4527
Phone 971-206-9211 · Fax 949-989-8079
Authorized official
Dustin Carlson
Provider General Manager
5039449727
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