NPI 1760509558
3723 Fairview Industrial
Practice location
- Address
- 1770 NW Valley View Dr, Roseburg, OR 97470-1778
- Phone
- (541) 673-3900
- Mailing address
- 3723 Fairview Industrial Dr SE STE 270, Salem, OR 97302-4975
Authorised official
- Name
- Jon Harder
- Title
- Manager
- Phone
- (503) 485-4600
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1760509558
- Entity type
- Organization
- NPI issued
- 25 Mar 2007
- Record last updated
- 13 Jun 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.