EVERGREEN OREGON HEALTHCARE TUALATIN LLC
Nursing at Cornell Rd, Beaverton, OR

License number
Oregon 1665
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: BRENT WEIL
Title: CEO AND MANAGER
Phone: (360) 892-6628
Address
Address 2
1778 NE Cornell Rd, Beaverton, OR 97124
4601 NE 77Th Ave SUITE 300, Vancouver, WA 98662
National Provider ID: 1780632471
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EVERGREEN OREGON HEALTHCARE TUALATIN LLC at bizstanding.com

EVERGREEN OREGON HEALTHCARE TUALATIN, LLC

Beaverton, OR  -  Vancouver, WA

Registration:
Feb 12, 1997
Addresses:
1778 NE Cornell Rd, Hillsboro, OR 97124 (Physical)
Attn Patti Groth 4601 Ne 77 Ave STE 300, Vancouver, WA 98662 (Mailing)
State ID:
55857586
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Roland Johnson,200 W Main St, Enterprise, OR 97828 (Physical)

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