LAURELHURST VILLAGE LLC NPI 1346288362

NPI Information

LAURELHURST VILLAGE 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. LAURELHURST VILLAGE LLC NPI is 1346288362. The provider is registered as an organization entity type.

The provider's business location address is:

3060 SE STARK ST
PORTLAND, OR
ZIP 97214-053
Phone: (503) 535-4700
Fax: (503) 797-6702

The provider's authorized official is Teresa Lee Waloroff .
The authorized official title is Ceo and has the following contact phone number (503) 595-2810.

The CLIA number assigned to this NPI record is 38D0858042 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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