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Organization

BD REDMOND IV LLC

Active
Other names
Regency Redmond Rehabilitation and Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization

Contact information

Practice address
3025 SW RESERVOIR RD, REDMOND, OR 97756-9481
(541) 548-5066
(541) 548-3752
Mailing address
3326 160TH AVE SE, SUITE 120, BELLEVUE, WA 98008-6418
(425) 392-4066
(425) 623-1517

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1560569881
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500620747
OR
05
800083
OR
Enumeration date
04/24/2007
Last updated
01/22/2016
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