NPI | 1679514566 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN E PRYOR VP Operations 503-646-5186 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1282) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2020-08-22 |