| NPI | 1659030575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN BAKER Finance And Licensing COO Rdinator 503-998-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |