NPI 1720549041

Well Frontier Tenant, LLC

Organisation Assisted Living Facility Happy Valley, OR

Practice location

Address: 8915 SE Monterey Ave, Happy Valley, OR 97086-7509
Phone: (503) 654-3200
Fax: (503) 654-3800
Mailing address: 7420 SW Bridgeport Rd STE 105, Portland, OR 97224-7790

Authorised official

Name: Gregory A. Roderick
Title: Authorized Rep.
Phone: (503) 443-1818

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Oregon →

Registry record

NPI: 1720549041
Entity type: Organization
NPI issued: 28 Mar 2019
Record last updated: 28 Mar 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.