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Organization
MILWAUKIE CONVALESCENT HOSPITAL INC
Active
Organization
MILWAUKIE CONVALESCENT HOSPITAL INC
Active
Other names
Milwaukie Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EIVERS (GM)
(503) 659-2323
Entity
Organization
Contact information
Practice address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222
(503) 659-2323
(503) 353-8533
Mailing address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222
(503) 659-2323
(503) 353-8533
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802645
—
OR
Enumeration date
02/01/2007
Last updated
01/21/2015
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