NPI 1518511419

Chestnut Lane Operations LLC

Organisation Assisted Living Facility Gresham, OR

Practice location

Address: 1219 NE 6th St, Gresham, OR 97030-7348
Phone: (503) 674-0364

Authorised official

Name: Karl Miller Jr.
Title: Ceo
Phone: (503) 570-3405

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Oregon →

Registry record

NPI: 1518511419
Entity type: Organization
NPI issued: 29 Jul 2019
Record last updated: 29 Jul 2019

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.