# CSL - CORVALLIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regent Court Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972032126
- **Authorized official:** MR. WILL FORSYTH (VICE-PRESIDENT, LEGAL COUNSEL)
- **Authorized official phone:** (541) 636-3460

## Contact information

- **Practice address:** 400 NW ELKS DR, CORVALLIS, OR 97330-3744
- **Practice address phone:** (541) 758-8000
- **Mailing address:** 1580 VALLEY RIVER DR STE 260, EUGENE, OR 97401-2193
- **Mailing address phone:** (541) 636-3460
- **Mailing address fax:** (541) 636-3797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 1480724513 | OR | Yes |

## Other

- **Enumeration date:** 06/09/2017
- **Last updated:** 06/09/2017