Organization
3723 FAIRVIEW INDUSTRIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON HARDER (MANAGER)
(503) 485-4600
Entity
Organization
Contact information
Practice address
1770 NW VALLEY VIEW DR, ROSEBURG, OR 97470-1778
(541) 673-3900
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE STE 270, SALEM, OR 97302-4975
(503) 485-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
OR
Other
Enumeration date
03/25/2007
Last updated
06/13/2008
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