NPI | 1871996710 |
---|---|
Entity Type | Organization |
Authorized Contact | NEREIDA BARRAGAN Certified Medical Assistant 503-434-7523 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR ASSISTANT (CCMA) 092) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 201211891CNA) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2014-10-07 |