Organization
CARE CENTER EAST HEALTH - PORTLAND, LLC
Active
Other names
Care Center East Health & Specialty Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOV E. JACOBS (MANAGER)
(323) 678-4426
Entity
Organization
Contact information
Practice address
11325 NE WEIDLER ST, PORTLAND, OR 97220-1950
(503) 253-1181
(503) 253-1871
Mailing address
11325 NE WEIDLER ST, PORTLAND, OR 97220-1950
(503) 253-1181
(503) 253-1871
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
809665
—
OR
Enumeration date
11/16/2006
Last updated
07/21/2022
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