| NPI | 1164393286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERIKO MORIYASU Managing Director 503-449-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |