| NPI | 1376081810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI M JEMISON President 503-999-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: OR 511482) |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-04 |