Organization
WILLAMETTE MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MASON (PRESIDENT/ COO)
(503) 826-5190
Entity
Organization
Contact information
Practice address
176 W C ST, LEBANON, OR 97355-3193
(541) 258-8178
(541) 258-8197
Mailing address
176 W C ST, LEBANON, OR 97355-3193
(541) 258-8178
(541) 258-8197
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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