| NPI | 1689791485 |
|---|---|
| Doing Business As | LAKESIDE ASSISTED LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | JON M HARDER Manager 503-485-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OR 1769313990) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2008-07-14 |