IndividualActive
Brice Ponteri
NPI 1346999729 · In Home Supportive Care Agency · Selma, OR
Provider details
- NPI number
- 1346999729
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
5615 Lake Shore Dr
Selma, OR 97538-9711
Phone: (650) 440-0856
Approximate (ZIP-level) locationGet directions
Mailing address
5615 Lake Shore Dr
Selma, OR 97538-9711
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.