| NPI | 1356577936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GALLARDO Director 503-885-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 071523) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |