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Contact Information

LAWRENCE CONVALESCENT CENTER
812 SE 48TH AVE
PORTLAND, OR97215-1724
 Phone: 503-236-2624
 Fax: 503-233-9377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for LAWRENCE CONVALESCENT CENTER

NPI # 1164525077
LBN Legal business name LAWRENCE CONVALESCENT CENTER
Authorized official DONALD SNOW - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OR Medicaid 804724
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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