| NPI | 1598752420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARD HARDING Administrator 503-252-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 800847) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |