Organization
CHANCELLOR HEALTH CARE OF CALIFORNIA IX, INC.
Active
Other names
Clackamas View Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
CLUNEY STAGG (PRESIDENT & CHIEF FINACIAL OFFICER)
(707) 291-3582
Entity
Organization
Contact information
Practice address
14550 SE VISTA LN, MILWAUKIE, OR 97267-1731
(503) 659-2325
Mailing address
115 JOHNSON ST, WINDSOR, CA 95492-7435
(707) 291-3582
(707) 687-1912
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527025
—
OR
Enumeration date
06/25/2020
Last updated
06/25/2020
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