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DSH380021X TUALITY HEALTHCARE (Active)
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Main Details
Name
TUALITY HEALTHCARE
Subdivision Name
Physical Therapy and Sports Rehab
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380021X
Medicare Provider Number
380021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Tuality Healthcare
Lori K James-Nielsen, President
(503) 681-1177
Primary Contact
Tuality Healthcare
Brigg Turner, Director of Pharmacy
(503) 681-1049
Addresses
Street Address
2333 Pacific Ave.
Forest Grove, OR 97116
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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