NPI 1164845921

Russellville III LLC

Organisation Assisted Living Facility Portland, OR

Practice location

Address: 23 SE 103rd Ave, Portland, OR 97216
Phone: (503) 254-5900

Authorised official

Name: Rayn Rasar
Title: Vp Operations
Phone: (206) 436-7827

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Oregon →

Registry record

NPI: 1164845921
Entity type: Organization
NPI issued: 30 Jan 2014
Record last updated: 30 Jan 2014

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.