Organization
BRIDGEWOOD AT FOUR SEASONS LLC
Active
Other names
Bridgewood at Four Seasons Retirement & Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLEY D HAMILTON (CEO-PRES OF MANAGER)
(503) 566-5715
Entity
Organization
Contact information
Practice address
3220 STATE ST, SUITE 200, SALEM, OR 97301-6872
(503) 566-5715
(503) 588-3531
Mailing address
11700 NE ANGELO DR, VANCOUVER, WA 98684-4296
(503) 566-5715
(503) 588-3531
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1474
WA
Other
Enumeration date
05/04/2007
Last updated
10/04/2007
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