Organization
LAWRENCE CONVALESCENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD DOANE SNOW BS HCA (ADMINISTRATOR)
(503) 236-2624
Entity
Organization
Contact information
Practice address
812 SE 48TH AVE, PORTLAND, OR 97215-1724
(503) 236-2624
(503) 233-9377
Mailing address
812 SE 48TH AVE, PORTLAND, OR 97215-1724
(503) 236-2624
(503) 233-9377
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804724
—
OR
Enumeration date
09/06/2006
Last updated
08/22/2020
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