OrganizationActive
Bristol Hospice - Oregon LLC
NPI 1063780351 · Community Based Hospice Care Agency · Clackamas, OR
Provider details
- NPI number
- 1063780351
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Parent organization
- Bristol Hospice, L.L.C.
- Organization subpart
- Yes
- Authorized official
- Alex Mauricio, President/Ceo(801) 325-0175
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12550 Se 93rd Ave Ste 200
Clackamas, OR 97015-9747
Phone: (503) 698-8911
Fax: (503) 698-8988
Street-level locationGet directions
Mailing address
206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.