NPI 1306556154
Gresham of Olympus, LLC
Practice location
- Address
- 3457 NE Division St, Gresham, OR 97030-4602
- Phone
- (208) 401-9600
- Fax
- (208) 314-0639
- Mailing address
- 2205 E Riverside Dr STE 100, Eagle, ID 83616-7621
Authorised official
- Name
- Steve Laforte
- Title
- Director of Corporate Affairs
- Phone
- (208) 401-9600
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1306556154
- Entity type
- Organization
- NPI issued
- 2 Dec 2022
- Record last updated
- 23 Feb 2023
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.