NPI 1649895921

Canby Alf, LLC

Organisation Assisted Living Facility Canby, OR

Practice location

Address: 655 SW 13th Ave, Canby, OR 97013-4051
Phone: (503) 266-9555
Mailing address: 15900 SE 82nd Dr, Clackamas, OR 97015-9502

Authorised official

Name: Peter Verdieck
Title: Evp Finance & Administration
Phone: (503) 255-4647

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1649895921
Entity type: Organization
NPI issued: 11 Jun 2020
Record last updated: 11 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.