NPI 1497371025

Fm Pelican, LLC

Organisation Assisted Living Facility Klamath Falls, OR

Practice location

Address: 615 Washburn Way, Klamath Falls, OR 97603-3685
Phone: (541) 882-8900
Mailing address: 7420 SW Bridgeport Rd STE 105, Portland, OR 97224-7790

Authorised official

Name: Gregory Roderick
Title: Member
Phone: (503) 443-1818

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Oregon →

Registry record

NPI: 1497371025
Entity type: Organization
NPI issued: 19 Jun 2020
Record last updated: 19 Jun 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.