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Organization

NORTHWEST COUNTRY PLACE

Active
Other names
Oakwood Country Place
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY J ODEGAARD (ADMINISTRATOR)
(503) 472-3141
Entity
Organization

Contact information

Practice address
421 S EVANS ST, MCMINNVILLE, OR 97128-6111
(503) 472-3141
(503) 472-9334
Mailing address
421 SE EVANS ST, MCMINNVILLE, OR 97128-6111
(503) 472-3141
(503) 472-9334

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800479
OR
Enumeration date
06/15/2006
Last updated
05/22/2009
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