| NPI | 1285631036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PARRY Administrator 503-643-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |