| NPI | 1730705823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK KOMRAUS Grand Secretary 503-357-3158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |