| NPI | 1700530987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MASON COO 503-826-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |