Organization
BEAVERTON OF CASCADIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN C HAMMOND (PRINCIPAL)
(208) 401-9600
Entity
Organization
Contact information
Practice address
11850 SW ALLEN BLVD, BEAVERTON, OR 97005-4805
(503) 646-7164
Mailing address
2205 E RIVERSIDE DR STE 100, EAGLE, ID 83616-7621
(208) 401-9600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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