| NPI | 1346288362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LEE WALOROFF CEO 503-595-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2025-09-11 |