Whalio Doctors

NPI 1598885501

Tualitin Senior Care LLC

Organisation Assisted Living Facility Tualatin, OR

Practice location

Address
19200 SW 65th Avenue, Tualatin, OR 97062-8875
Phone
(503) 692-3192
Mailing address
PO Box 3006, Salem, OR 97302-0006

Authorised official

Name
Jon M Harder
Title
Manager
Phone
(503) 375-9016

Registered specialties (3)

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 1459865808 (OR)
Alzheimer Center (Dementia Center)
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 1172390222 (OR)

Registry record

NPI
1598885501
Entity type
Organization
NPI issued
31 Mar 2007
Record last updated
14 Jul 2008

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.