Organization
SELAH GRACE AFH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE POLNEAU RN (OWNER)
(503) 277-8259
Entity
Organization
Contact information
Practice address
1310 SW 181ST AVE, BEAVERTON, OR 97003-3720
(503) 591-7479
(971) 386-1322
Mailing address
3300 NW 185TH AVE # 234, PORTLAND, OR 97229-3406
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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