| NPI | 1922624600 |
|---|---|
| Doing Business As | GILMAN PARK ASSISTED LIVING RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | GREGORY RODERICK Member 503-443-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |