Organization
SH1 CEDAR CREST OPCO LLC
Active
Other names
Cedar Crest Alzheiner's Special Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI BAKER (LICENSING COORDINATOR)
(564) 203-3620
Entity
Organization
Contact information
Practice address
18325 SW PACIFIC HWY, TUALATIN, OR 97062-6966
(503) 925-0544
(503) 625-2301
Mailing address
5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
(360) 254-9442
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
515639
—
OR
Enumeration date
02/19/2025
Last updated
02/19/2025
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