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Contact Information

PACIFIC SENIOR CARE, LLC
405 NE 5TH ST
GRESHAM, OR97030
 Phone: 503-666-5600
 Fax: 503-907-8911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PACIFIC SENIOR CARE, LLC

NPI Number 1144247115
LBN Legal business name PACIFIC SENIOR CARE, LLC
Authorized official PAUL REDHEAD - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2006
Last updated 07/25/2019 - About 7 years ago
Identifiers n/a
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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