| NPI | 1154946457 | 
|---|---|
| Doing Business As | WILLSON HOUSE RESIDENTIAL CARE FACILITY | 
| Entity Type | Organization | 
| Authorized Contact | PETER VERDIECK EVP Finance & Administration 503-255-4647  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 310400000X Assisted Living Facility | 
| Enumeration Date | 2020-06-11 | 
| Last Update Date | 2020-06-11 |