NPI 1487602173

Evergreen Oregon Healthcare Valley Vista, L.L.C.

Organisation Skilled Nursing Facility The Dalles, OR

Practice location

Address: 1023 W 25th St, The Dalles, OR 97058-1251
Phone: (541) 298-5158
Fax: (541) 298-3864
Mailing address: 4601 NE 77th Ave Suite 300, Vancouver, WA 98662-6736

Authorised official

Name: Brent Weil
Title: Ceo and Manager
Phone: (360) 892-6628

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1668 (OR)

Other Skilled Nursing Facility providers in Oregon →

Registry record

NPI: 1487602173
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 30 Jan 2017

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.