| NPI | 1508130642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA V HAMBLIN Dental Hygienist 503-729-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311500000X Alzheimer Center (Dementia Center) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |