Well Frontier Tenant, LLC
NPI #1720549041 in Happy Valley, Oregon
Provider Information
- NPI Number
- 1720549041
- Entity Type
- Organization
- Organization Name
- Well Frontier Tenant, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 8915 SE MONTEREY AVE
- City
- Happy Valley
- State
- Oregon
- ZIP Code
- 97086-7509
- Phone
- (503) 654-3200
Authorized Official
- Name
- GREGORY A. RODERICK
- Title
- AUTHORIZED REP.
- Phone
- (503) 443-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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