Organization
CANTERBURY CREST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCNEIL (EXECUTIVE DIRECTOR)
(503) 464-6740
Entity
Organization
Contact information
Practice address
8838 SW 57TH AVE, PORTLAND, OR 97219-3266
(503) 464-6740
Mailing address
PO BOX 19147, PORTLAND, OR 97280-0147
(503) 464-6740
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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