W2 Powell Valley, LLC

NPI #1861092520 in Gresham, Oregon

Provider Information

NPI Number
1861092520
Entity Type
Organization
Organization Name
W2 Powell Valley, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 30, 2020
Last Updated
Oct 30, 2020

Practice Location

Address
4001 SE 182ND AVE
State
Oregon
ZIP Code
97030-5063
Phone
(503) 665-2496

Authorized Official

Name
TREVOR WART
Title
MANAGER
Phone
(503) 706-6918

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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