NPI 1114543501

Clearwater Springs Al Gr, LLC

Organisation Assisted Living Facility Vancouver, WA

Practice location

Address: 201 NW 78th St, Vancouver, WA 98665-7904
Phone: (360) 546-3344
Mailing address: 7420 SW Bridgeport Rd STE 105, Portland, OR 97224-7790

Authorised official

Name: Gregory Roderick
Title: Member
Phone: (503) 443-1818

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Washington →

Registry record

NPI: 1114543501
Entity type: Organization
NPI issued: 22 Jun 2020
Record last updated: 22 Jun 2020

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.