| NPI | 1023241361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB THOMAS President 503-570-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 72228482401) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |