| NPI | 1457694259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL MILLER Owner 503-570-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-05-22 |