Richard David Samuelson, II
Nursing Home Administrators at Copper Crk Dr, Portland, OR

License number
Colorado 19
Issued Date
Jun 25, 2013
Renew Date
Jun 25, 2013
Expiration Date
Sep 4, 2013
Type
Nursing Home Administrator Temporary Permit for Emergency Situations
Address
Address
16540 SW Copper Creek Dr, Portland, OR 97224