| NPI | 1629224449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN JESSE MARCOFF Controller 503-665-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 1124599635) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |