RUSSELLVILLE III LLC is an assisted living facility in Portland, OR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RUSSELLVILLE III LLC NPI is 1164845921. The provider is registered as an organization entity type.
The provider Is Doing Business As Russellville Park.
The provider's business location address is:
23 SE 103RD AVE
PORTLAND, OR
ZIP 97216
Phone: (503) 254-5900
The provider's authorized official is Rayn Rasar .
The authorized official title is Vp Operations and has the following contact phone number (206) 436-7827.
The CLIA number assigned to this NPI record is 38D2179837 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/30/2014 and was last updated on 1/30/2014.