Gracelen Terrace Managing Company

NPI #1023313491 in Portland, Oregon

Provider Information

NPI Number
1023313491
Entity Type
Organization
Organization Name
Gracelen Terrace Managing Company
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Jan 17, 2011
Last Updated
Jan 17, 2011

Practice Location

Address
6003 SE 136TH AVE
State
Oregon
ZIP Code
97236-4567
Phone
(503) 761-1155

Authorized Official

Name
MRS. LINDA MARIE PICKERING, LNHA
Title
PRESIDENT
Phone
(503) 760-1727

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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