Organization
MARY'S WOODS AT MARYLHURST, INC
Active
Other names
Marie Rose Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE ELIZABETH HOOD CPA (CFO)
(503) 675-2448
Entity
Organization
Contact information
Practice address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5137
(503) 675-2475
(503) 675-3937
Mailing address
17400 HOLY NAMES DR, SUITE 70, LAKE OSWEGO, OR 97034-5187
(503) 675-2447
(503) 675-2015
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
OR
311500000X
Alzheimer Center (Dementia Center)
—
OR
314000000X
Skilled Nursing Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508756
—
OR
05
—
800046
—
OR
Enumeration date
11/01/2005
Last updated
07/24/2014
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