NPI 1740410356

Paradise Adult Foster Care Incorporated

Organisation Adult Care Home Facility Portland, OR

Practice location

Address: 1356 SE 172nd Ave, Portland, OR 97233-4702
Phone: (503) 760-8052
Fax: (503) 760-8052

Authorised official

Name: Christina Marie Ellis
Title: Owner
Phone: (503) 760-8052

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Oregon →

Registry record

NPI: 1740410356
Entity type: Organization
NPI issued: 16 Jul 2009
Record last updated: 16 Jul 2009

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.