Organization
SHANGRI-LA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN LENAY WINKLE (DIRECTOR)
(503) 581-1732
Entity
Organization
Contact information
Practice address
4080 REED RD SE, SUITE 150, SALEM, OR 97302-1100
(503) 581-1732
(503) 581-5638
Mailing address
4080 REED RD SE, SUITE 150, SALEM, OR 97302-1100
(503) 581-1732
(503) 581-5638
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/17/2008
Last updated
08/10/2020
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