Organization
CORNERSTONE CARE OPTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SCOTT MCKAY (ADMINISTRATOR/OWNER)
(503) 761-6621
Entity
Organization
Contact information
Practice address
12640 SE BUSH ST, PORTLAND, OR 97236-3423
(503) 761-6621
(503) 761-6633
Mailing address
12640 SE BUSH ST, PORTLAND, OR 97236-3423
(503) 761-6621
(503) 761-6633
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
801089
OR
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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