| NPI | 1922623206 |
|---|---|
| Doing Business As | BROOKSIDE PLACE |
| Entity Type | Organization |
| Authorized Contact | PETER VERDIECK EVP Finance & Administration 503-255-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |