| NPI | 1447636071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN BOOSE CEO 503-648-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: OR DZ0021) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |