Greenridge Estates Operating LLC

NPI #1558987768 in Lake Oswego, Oregon

Provider Information

NPI Number
1558987768
Entity Type
Organization
Organization Name
Greenridge Estates Operating LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 23, 2020
Last Updated
Jun 23, 2020

Practice Location

Address
4 GREENRIDGE DR
State
Oregon
ZIP Code
97035-1400
Phone
(503) 635-8818

Authorized Official

Name
WINSTON TONACK
Title
OWNER
Phone
(503) 550-7170

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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