| NPI | 1922265685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELIZABETH MAIDEN Residential Counselor I 503-975-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |