Organization
GREENRIDGE ESTATES OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON TONACK (OWNER)
(503) 550-7170
Entity
Organization
Contact information
Practice address
4 GREENRIDGE DR, LAKE OSWEGO, OR 97035-1400
(503) 635-8818
Mailing address
4 GREENRIDGE DR, LAKE OSWEGO, OR 97035-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526417
—
OR
Enumeration date
06/23/2020
Last updated
06/23/2020
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