Organization
MARQUIS COMPANIES II, INC.
Active
Other names
Marquis Forest Grove Post Acute Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP GUY FOGG JR. (PRESIDENT/CEO)
(971) 206-5200
Entity
Organization
Contact information
Practice address
3300 19TH AVE, FOREST GROVE, OR 97116-1910
(503) 357-7119
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500684533
—
OR
Enumeration date
03/10/2015
Last updated
07/14/2015
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