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Organization
ROSEBURG DOUGLAS ASSOCIATES
Active
Organization
ROSEBURG DOUGLAS ASSOCIATES
Active
Other names
Bridgewood Rivers Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARIE MOSS (DIRECTOR OF RISK MANAGEMENT)
(503) 588-2725
Entity
Organization
Contact information
Practice address
1901 NW HUGHWOOD AVE, ROSEBURG, OR 97470-5598
(541) 440-1914
(541) 440-9009
Mailing address
200 HAWTHORNE AVE SE STE A140, SALEM, OR 97301-5092
(503) 588-2725
(503) 588-8653
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1273780464
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520788
—
OR
Enumeration date
06/20/2008
Last updated
06/20/2008
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