Organization
BROOKDALE SENIOR LIVING COMMUNITIES, INC.
Active
Other names
Brookdale Forest Grove
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EXECUTIVE VICE PRESIDENT)
(615) 221-2250
Entity
Organization
Contact information
Practice address
3110 19TH AVE, FOREST GROVE, OR 97116-2674
(503) 357-3288
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501980
—
OR
Enumeration date
12/29/2006
Last updated
05/08/2017
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