Organization · Type 2 NPI

Princeton Village Assisted Living Residence LLC

Point of Service · Salem, OR

NPI number 1144433384 Active

Practice location

3220 State St, Suite 200
Salem, OR 97301-6872

Call (503) 566-5715 Map

Fax (503) 588-3531

Mailing address

14370 SE Oregon Trail Dr
Clackamas, OR 97015-6290

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1144433384

Princeton Village Assisted Living Residence LLC's National Provider Identifier is 1144433384, issued on May 7, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Salem, OR. The record was last updated on Oct 4, 2007.