Organization
EAGLE HEALTHCARE, INC
Active
Parent organization
EAGLE HEALTHCARE, INC
Other names
Menlo Park Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE HEALTHCARE, INC
Authorized official
MR. GREG SCHMIDT (CONTROLLER)
(425) 285-3891
Entity
Organization
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
(503) 257-9091
Mailing address
12015 115TH AVE NE # E195, KIRKLAND, WA 98034-6940
(425) 285-3891
(425) 285-3899
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800033
—
OR
Enumeration date
09/21/2006
Last updated
12/10/2008
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