Gentog, LLC

NPI #1508170945 in Tigard, Oregon

Provider Information

NPI Number
1508170945
Entity Type
Organization
Organization Name
Gentog, LLC
Primary Specialty
Custodial Care Facility
Enumeration Date
Jul 27, 2010
Last Updated
Jul 27, 2010

Practice Location

Address
11535 SW DURHAM RD
Address 2
SUITE C5
City
Tigard
State
Oregon
ZIP Code
97224-3474
Phone
(503) 639-2600

Authorized Official

Name
MARCIE M JONES
Title
CO-PRESIDENT
Phone
(503) 639-2600

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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