Organization
PACIFIC LIVING CENTERS NORTH, LLC
Active
Other names
Harmony House of Salem, Heritage House of Woodburn, Hawthorne House of Salem
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL MASON (COO)
(503) 826-5190
Entity
Organization
Contact information
Practice address
943 N CASCADE DR, WOODBURN, OR 97071-3140
(503) 982-1506
Mailing address
25260 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-6627
(503) 826-5190
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4142590487
DHS APD
OR
01
—
5404019748
DHS APD
OR
01
—
8179649107
DHS APD
OR
Enumeration date
02/07/2022
Last updated
02/07/2022
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