| NPI | 1235338757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA K TRAVIS Licensed Physical Therapist Asst. 503-397-2720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 7085) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |