| NPI | 1598749038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J. MCMULLIN Board Chair 503-623-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 800268) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2012-12-28 |