Organization
INLAND POINT SENIOR ESTATES JV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M MOSS (SENIOR EXECUTIVE DIRECTOR)
(541) 756-0176
Entity
Organization
Contact information
Practice address
2265 INLAND DRIVE, NORTH BEND, OR 97459
(541) 756-9740
(541) 756-9739
Mailing address
3696 BROADWAY ST, PMB 132, NORTH BEND, OR 97459-2200
(541) 756-9740
(541) 756-9739
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
APPLIED FOR
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274679
—
OR
Enumeration date
08/29/2007
Last updated
01/27/2009
Update your record
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