| NPI | 1750907317 |
|---|---|
| Doing Business As | LAUREL PINES RETIREMENT LODGE |
| Entity Type | Organization |
| Authorized Contact | MELISSA HARRIS-PLANCE Billing Manager 503-580-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |