Organization
MILWAUKIE CONVALESCENT HOSPITAL INC
Active
Other names
Milwaukie Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EIVERS (GM)
(503) 659-2323
Entity
Organization
Contact information
Practice address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222
(503) 659-2323
(503) 353-8533
Mailing address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222
(503) 659-2323
(503) 353-8533
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802645
—
OR
Enumeration date
02/01/2007
Last updated
01/21/2015
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