| NPI | 1750837597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOMINGO M ANDREWS Lpn 503-546-9292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OR 201130602LPN) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |