| NPI | 1548205354 |
|---|---|
| Doing Business As | WATERFORD AT THREE FOUNTAINS |
| Entity Type | Organization |
| Authorized Contact | BRIAN E PRYOR VP Operations 503-646-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 385126) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |