NPI 1164559282

Summerplace Assisted Living LLC

Organisation Assisted Living Facility Portland, OR

Practice location

Address: 15727 NE Russell St, Portland, OR 97230-8222
Phone: (503) 252-9361
Fax: (503) 252-9405
Mailing address: 7700 NE Parkway Dr Suite 300, Vancouver, WA 98662-6648

Authorised official

Name: Gregory J Vislocky
Title: Managing Member
Phone: (360) 735-7155

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1164559282
Entity type: Organization
NPI issued: 27 Feb 2007
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.