Providence Elderplace
Assisted Living Facility in Portland, OR. Organization (NPI-2).
NPI number1750837597
StatusActive
Last updated in NPPESAug 31, 2016
Details
- NPI
- 1750837597
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Elderplace
- Organization subpart
- Yes
- Enumeration date
- Aug 31, 2016
- Last updated
- Aug 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 201130602LPN | OR | Yes |
Practice location
16430 Ne Hoyt StPortland, OR 97230
Phone 503-875-5172
Mailing address
16430 Ne Hoyt StPortland, OR 97230-5846
Phone 503-875-5172
Authorized official
Lomingo M Andrews
Lpn
5035469292
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All 37 Assisted Living Facility providers in Portland · All 48,847 providers in Portland
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