NPI 1023313491
Gracelen Terrace Managing Company
Practice location
- Address
- 6003 SE 136th Ave, Portland, OR 97236-4567
- Phone
- (503) 761-1155
- Fax
- (503) 761-1142
- Mailing address
- 10948 SE Boise St, Portland, OR 97266-2202
Authorised official
- Name
- Linda Marie Pickering
- Title
- President
- Phone
- (503) 760-1727
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1023313491
- Entity type
- Organization
- NPI issued
- 17 Jan 2011
- Record last updated
- 17 Jan 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.