| NPI | 1104576370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BAKER Finance And Licensing COO Rdinator 503-998-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |