Organization
BONAVENTURE OF PUYALLUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE J LINK (AR SPECIALIST)
(503) 373-3131
Entity
Organization
Contact information
Practice address
14503 MERIDIAN E, PUYALLUP, WA 98375-5003
(253) 387-8166
Mailing address
3425 BOONE RD SE, SALEM, OR 97317-9336
(503) 373-3131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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