Evergreen Oregon Healthcare Tualatin LLC

NPI #1780632471 in Hillsboro, Oregon

Provider Information

NPI Number
1780632471
Entity Type
Organization
Organization Name
Evergreen Oregon Healthcare Tualatin LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EMPRES OREGON HEALTHCARE, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 4, 2006
Last Updated
Jan 30, 2017

Practice Location

Address
1778 NE CORNELL RD
State
Oregon
ZIP Code
97124-2740
Phone
(503) 648-6621

Authorized Official

Name
BRENT WEIL
Title
CEO AND MANAGER
Phone
(360) 892-6628

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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