| NPI | 1831274364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD VAN DYKE Deputy Director 503-373-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 800072) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-03-18 |