NPI 1083827745

Cedar Ridge Retirement & Assisted Living Community LLC

Organisation Point of Service Salem, OR

Practice location

Address: 3220 State St Suite 200, Salem, OR 97301-6872
Phone: (503) 566-5715
Fax: (503) 588-3531
Mailing address: 9515 198th Avenue East, Bonney Lake, WA 98391

Authorised official

Name: Kelley D Hamilton
Title: Ceo-Pres of Manager
Phone: (503) 566-5715

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 1951 (WA)

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Registry record

NPI: 1083827745
Entity type: Organization
NPI issued: 8 May 2007
Record last updated: 4 Oct 2007

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.