Organization · Type 2 NPI

Emeritus Corporation

Assisted Living Facility · Tualatin, OR

NPI number 1003129537 Active

Practice location

19200 SW 65th Ave
Tualatin, OR 97062-8875

Call (503) 692-3192 Map

Fax (503) 691-9836

Mailing address

6737 W Washington St, Suite 2300
Milwaukee, WI 53214-5647

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1003129537
Entity type: Organization (Type 2)
Issued: Jul 26, 2010
Last updated: Jul 21, 2020
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

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Brookdale River Valley Tualatin · doing business as
Brookdale River Valley Tualatin · doing business as

Authorized official

Joanne K Leskowicz
Senior Vice President
(414) 918-5000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003129537

Emeritus Corporation's National Provider Identifier is 1003129537, issued on Jul 26, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tualatin, OR. The record was last updated on Jul 21, 2020.