Gracelen Terrace Managing Company

NPI 1023313491 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1023313491
Enumeration Date 01/17/2011
Last Updated 01/17/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LINDA MARIE LINDA
Position PRESIDENT
Phone (503) 761-1155
Fax (503) 761-1142
Practice Location
6003 SE 136TH AVE
PORTLAND OR, 97236-4567, US
Phone (503) 761-1155
Fax (503) 761-1142
Business Location
10948 SE BOISE ST
PORTLAND OR, 97266-2202, US
Phone (503) 760-1727
Fax (503) 762-2331
Toxanomy
Taxonomy Code 313M00000X
License State Oregon
License Number 1600506066
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According to our database, Gracelen Terrace Managing Company NPI is 1023313491, taxonomy code is 313M00000X and license number is 1600506066, license state is located at Oregon. Gracelen Terrace Managing Company physically located at 6003 Se 136th Ave, Portland OR, 97236-4567. NPI Number 1033115704 has the healthcare provider type.

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1023313491 NPI number is provided on an as is basis without warranty of any kind. 1023313491 is maintained by the National Plan & Provider Enumeration System. The contents of Gracelen Terrace Managing Company are for informational purposes only.