Organization
BD PRINEVILLE II LLC
Active
Other names
Regency Prineville Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG DEVORE (PRESIDENT)
(425) 392-4066
Entity
Organization
Contact information
Practice address
950 NE ELM ST, PRINEVILLE, OR 97754-1619
(541) 447-7667
(541) 447-6685
Mailing address
3326 160TH AVE SE, SUITE 120, BELLEVUE, WA 98008-6418
(425) 392-4066
(425) 623-1517
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1392620563
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500620749
—
OR
05
—
800085
—
OR
Enumeration date
04/24/2007
Last updated
01/22/2016
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