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Organization

MARQUIS COMPANIES I, INC

Active
Other names
Marquis Care at Wilsonville
Organization subpart
No

Provider details

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

Contact information

Practice address
30900 SW PARKWAY AVE, WILSONVILLE, OR 97070-7835
(503) 682-2840
(503) 682-2869
Mailing address
30900 SW PARKWAY AVE, WILSONVILLE, OR 97070-7835
(503) 682-2840
(503) 682-2869

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
512409
OR
05
800058
OR
Enumeration date
08/31/2006
Last updated
10/22/2008
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