| NPI | 1811987779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNNE EMERSON Nursing Home Administrator 503-288-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 385237) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-08-22 |