| NPI | 1023670114 |
|---|---|
| Doing Business As | EAST PORTLAND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL RICKER Managing Member 503-887-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-01-31 |