| NPI | 1528348042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KILLEN AUS Dental Hygienist 503-319-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OR H1599) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |