Organization
W2 POWELL VALLEY, LLC
Active
Other names
Powell Valley Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR WART (MANAGER)
(503) 706-6918
Entity
Organization
Contact information
Practice address
4001 SE 182ND AVE, GRESHAM, OR 97030-5063
(503) 665-2496
Mailing address
4001 SE 182ND AVE, GRESHAM, OR 97030-5063
(503) 665-2496
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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