NPI 1578365979

Selah Grace Afh, LLC

Organisation Adult Care Home Facility Beaverton, OR

Practice location

Address: 1310 SW 181st Ave, Beaverton, OR 97003-3720
Phone: (503) 591-7479
Fax: (971) 386-1322
Mailing address: 3300 NW 185th Ave # 234, Portland, OR 97229-3406

Authorised official

Name: Laurie Polneau
Title: Owner
Phone: (503) 277-8259

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Oregon →

Registry record

NPI: 1578365979
Entity type: Organization
NPI issued: 26 Mar 2025
Record last updated: 26 Mar 2025

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.