Organization
PACIFIC SENIOR CARE, LLC
Active
Other names
Gresham Post Acute Care and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL REDHEAD (MANAGING MEMBER)
(541) 954-1937
Entity
Organization
Contact information
Practice address
405 NE 5TH ST, GRESHAM, OR 97030
(503) 666-5600
(503) 907-8911
Mailing address
127 NE 102ND AVE, STE A, PORTLAND, OR 97220
(503) 254-7923
(503) 764-9974
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
07/25/2019
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