Organization
MARQUIS COMPANIES I, INC
Active
Other names
Marquis Care at Centennial
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL FOGG (PRESIDENT)
(971) 206-5100
Entity
Organization
Contact information
Practice address
725 SE 202ND AVE, PORTLAND, OR 97233-6105
(503) 665-3118
(503) 674-5759
Mailing address
725 SE 202ND AVE, PORTLAND, OR 97233-6105
(503) 665-3118
(503) 674-5759
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800792
—
OR
Enumeration date
08/31/2006
Last updated
10/22/2008
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