NPI | 1902172547 |
---|---|
Doing Business As | CANYON CREEK |
Entity Type | Organization |
Authorized Contact | ANDREW WHITE CEO, President, Secretary 503-684-1123 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2012-03-28 |
Last Update Date | 2012-03-28 |