| NPI | 1497987879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L ROBERTSON Manager 503-580-6925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |