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Organization

STATE OF OREGON DEPARTMENT OF VETERANS' AFFAIRS

Active
Other names
Oregon Veterans Home - Lebanon
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE SHRIVER (CHIEF FINANCIAL OFFICER)
(503) 373-2268
Entity
Organization

Contact information

Practice address
600 N. 5TH STREET, LEBANON, OR 97355
(503) 362-5235
Mailing address
600 N. 5TH STREET, LEBANON, OR 97355
(503) 362-5235

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500681197
OR
Enumeration date
06/02/2014
Last updated
03/18/2015
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