Organization
SSSHT OPCO SE DIVISION STREET, LLC
Active
Other names
Courtyard at Mt. Tabor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD PILE (SENIOR EXECUTIVE DIRECTOR)
(503) 788-0896
Entity
Organization
Contact information
Practice address
6323 SE DIVISION ST, PORTLAND, OR 97206-1385
(503) 772-9795
Mailing address
6125 SE DIVISION ST, PORTLAND, OR 97206-1304
(503) 788-0896
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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