Organization
REGENCY GRESHAM NURSING & REHABILITATION CENTER LLC
Active
Other names
Regency Gresham Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN B BEDDOE (CEO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
5905 SE POWELL VALLEY RD, GRESHAM, OR 97080-1919
(503) 665-1151
(503) 669-1966
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
808550
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800117
—
OR
Enumeration date
04/12/2007
Last updated
02/09/2016
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