| NPI | 1871610659 |
|---|---|
| Doing Business As | PARK AVENUE ESTATES SENIOR LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | JON M HARDER Manager 503-375-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF-125) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2008-07-14 |