Organization
WILLSON HOUSE
Active
Other names
Willson House Residential Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VERDIECK (EVP FINANCE & ADMINISTRATION)
(503) 255-4647
Entity
Organization
Contact information
Practice address
1625 CENTER ST NE, SALEM, OR 97301-4268
(503) 585-6511
Mailing address
15900 SE 82ND DR, CLACKAMAS, OR 97015-9502
(503) 255-4647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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