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Organization

MARQUIS COMPANIES

Active
Other names
Marquis Care at Autumn Hills
Organization subpart
No

Provider details

NPI number
Authorized official
PHIL FOGG JR. (PRESIDENT)
(971) 206-5200
Entity
Organization

Contact information

Practice address
6630 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-1404
(503) 292-7874
Mailing address
6630 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-1404
(503) 292-7874

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800800
OR
Enumeration date
01/08/2007
Last updated
08/22/2020
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