| NPI | 1558427955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH DEITZ Fiscal Officer 503-872-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2021-07-07 |