Organization
BLUE OCEAN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERA YAHYA (EXECUTIVE DIRECTOR)
(612) 598-4577
Entity
Organization
Contact information
Practice address
12670 SW KAREN ST, TIGARD, OR 97223-3022
(612) 598-4577
Mailing address
12670 SW KAREN ST, TIGARD, OR 97223-3022
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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