Russellville Iii Llc

NPI 1164845921 - Assisted Living Facility - 310400000X

NPI Details
NPI 1164845921
Enumeration Date 01/30/2014
Last Updated 01/30/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RAYN RAYN
Position VP OPERATIONS
Phone (503) 254-5900
Fax
Practice Location
23 SE 103RD AVE
PORTLAND OR, 97216, US
Phone (503) 254-5900
Fax
Business Location
23 SE 103RD AVE
PORTLAND OR, 97216, US
Phone (503) 254-5900
Fax (503) 255-7098
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Russellville Iii Llc NPI is 1164845921, taxonomy code is 310400000X Russellville Iii Llc physically located at 23 Se 103rd Ave, Portland OR, 97216. NPI Number 1033115704 has the healthcare provider type.

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1164845921 NPI number is provided on an as is basis without warranty of any kind. 1164845921 is maintained by the National Plan & Provider Enumeration System. The contents of Russellville Iii Llc are for informational purposes only.