NPI 1558987230
Fm Grande, LLC
Practice location
- Address
- 1809 Gekeler Ln, La Grande, OR 97850-3375
- Phone
- (541) 963-4700
- Fax
- (541) 963-6519
- 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
Registry record
- NPI
- 1558987230
- Entity type
- Organization
- NPI issued
- 18 Jun 2020
- Record last updated
- 18 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.