OrganizationActive
Equitable Health Services
NPI 1073478483 · Licensed Practical Nurse · Portland, OR
Provider details
- NPI number
- 1073478483
- Entity type
- Organization
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Abraham Meressa, Executive Director(503) 572-8705
Specialties & taxonomies
Nursing Service Providers
- Home Health Agency251E00000X
Agencies
- Respite Care385H00000X
Respite Care Facility
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
10354 Ne Wasco St
Portland, OR 97220-3927
Phone: (503) 572-8705
Street-level locationGet directions
Mailing address
10354 Ne Wasco St
Portland, OR 97220-3927
Registry dates
- Enumerated
- 2025-12-17
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.