Organization · Type 2 NPI

Providence Elderplace

Assisted Living Facility · Portland, OR

NPI number 1750837597 Active

Practice location

16430 NE Hoyt St
Portland, OR 97230

Call (503) 875-5172 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X201130602LPN (OR)

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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About NPI 1750837597

Providence Elderplace's National Provider Identifier is 1750837597, issued on Aug 31, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2016.