Organization
FM OAKS, LLC
Active
Other names
Oaks at Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY RODERICK (MEMBER)
(503) 443-1818
Entity
Organization
Contact information
Practice address
621 W OAK ST, LEBANON, OR 97355-1788
(541) 258-7777
(541) 258-7798
Mailing address
7420 SW BRIDGEPORT RD STE 105, PORTLAND, OR 97224-7790
(503) 597-4906
(503) 443-1919
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524493
—
OR
Enumeration date
06/19/2020
Last updated
06/19/2020
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