Whalio Doctors

NPI 1154382539

Pacific Gardens Estates LLC

Organisation Skilled Nursing Facility Tigard, OR

Practice location

Address
14145 SW 105th Ave, Tigard, OR 97224-4808
Phone
(503) 639-1144
Fax
(503) 620-7201
Mailing address
PO Box 3548, Salem, OR 97302-0548

Authorised official

Name
Kent M. Emry
Title
Vice President of Operations
Phone
(503) 585-0200

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1154382539
Entity type
Organization
NPI issued
28 Mar 2006
Record last updated
22 Aug 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.