Organization
WEST LINN CARE CENTER OPERATING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA LEE WALDROFF (MANAGER)
(503) 706-0878
Entity
Organization
Contact information
Practice address
2330 DEBOK RD, WEST LINN, OR 97068-3902
(503) 655-0474
Mailing address
20300 S SOUTH END RD, OREGON CITY, OR 97045-7700
(503) 706-0878
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1565662204
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38E018
—
OR
Enumeration date
03/26/2012
Last updated
07/30/2014
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