Fmg Northeast Weidler Street Oregon Llc

NPI 1710375878 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1710375878
Enumeration Date 12/24/2014
Last Updated 12/24/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID DAVID
Position AUTHORIZED OFFICIAL
Phone (503) 253-1181
Fax (503) 253-1871
Practice Location
11325 NE WEIDLER ST
PORTLAND OR, 97220-1950, US
Phone (503) 253-1181
Fax (503) 253-1871
Business Location
11325 NE WEIDLER ST
PORTLAND OR, 97220-1950, US
Phone (503) 253-1181
Fax (503) 253-1871
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Fmg Northeast Weidler Street Oregon Llc NPI is 1710375878, taxonomy code is 314000000X Fmg Northeast Weidler Street Oregon Llc physically located at 11325 Ne Weidler St, Portland OR, 97220-1950. NPI Number 1033115704 has the healthcare provider type.

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1710375878 NPI number is provided on an as is basis without warranty of any kind. 1710375878 is maintained by the National Plan & Provider Enumeration System. The contents of Fmg Northeast Weidler Street Oregon Llc are for informational purposes only.