NPI 1154382539
Pacific Gardens Estates LLC
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
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.