Organization
REST HARBOR EXTENDED CARE CENTER INC.
Active
Other names
Rest Harbor Rehabilitation & Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG CHARLES DEMPSEY VICE PRESIDENT (ADMINISTRATOR)
(503) 665-1151
Entity
Organization
Contact information
Practice address
5905 SE POWELL VALLEY RD, GRESHAM, OR 97080-1919
(503) 665-1151
(503) 669-1986
Mailing address
5905 SE POWELL VALLEY RD, GRESHAM, OR 97080-1919
(503) 665-1151
(503) 669-1986
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
808550
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808550
—
OR
Enumeration date
07/03/2006
Last updated
08/22/2020
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