Organization
TOUCHMARK LIVING CENTERS, INC
Active
Other names
Waterford at Three Fountains
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN E PRYOR (VP OPERATIONS)
(503) 646-5186
Entity
Organization
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 773-7717
(541) 857-5139
Mailing address
5150 SW GRIFFITH DR, BEAVERTON, OR 97005-2935
(503) 646-5186
(503) 646-5186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
385126
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800545
—
OR
Enumeration date
06/17/2006
Last updated
08/22/2020
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