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Organization

WASHOUGAL ASSISTED LIVING, LLC

Active
Other names
Columbia Ridge Assisted Living, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD TAYLOR (EXECUTIVE DIRECTOR)
(360) 335-1238
Entity
Organization

Contact information

Practice address
2300 W 9TH ST, WASHOUGAL, WA 98671-7437
(360) 335-1238
(360) 833-0615
Mailing address
4610 NE 77TH AVE, SUITE 132, VANCOUVER, WA 98662-6789
(360) 449-4524
(360) 449-4525

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH1521
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
465651
WA
Enumeration date
04/17/2007
Last updated
08/22/2020
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