| NPI | 1437180486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT MCKAY Administrator/Owner 503-761-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 801089) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |