| NPI | 1396958658 |
|---|---|
| Doing Business As | GIBSON CREEK RETIREMENT & ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | KELLEY D HAMILTON CEO Pres Of Manager 503-566-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-10-04 |