Organization
EVERGREEN OREGON HEALTHCARE ORCHARDS RETIREMENT, L.L.C.
Active
Parent organization
EVERGREEN OREGON HEALTHCARE, L.L.C.
Other names
Cascade Valley Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN OREGON HEALTHCARE, L.L.C.
Authorized official
MICHAEL J MILLER (ASSISTANT MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
1010 NE 3RD AVE, MILTON FREEWATER, OR 97862-9404
(541) 938-5693
(541) 938-4490
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
(360) 892-6628
(360) 882-5793
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1883778809
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
564166
—
OR
Enumeration date
09/24/2010
Last updated
09/23/2020
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