Fm Princeton, Llc

LBN: Fm Princeton, Llc
Fm Princeton, Llc is an health care organization with primary practice located at 14370 Se Oregon Trail Dr , Clackamas OR 97015-6290. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Fm Princeton, Llc can be contacted via phone (503) 558-1215, or through Roderick, Gregory via phone (503) 443-1818.

Contact Information

Primary practice address
14370 Se Oregon Trail Dr Clackamas OR 97015-6290
Phone: (503) 558-1215
Fax: (503) 558-8437
Website:
Map and Directions
Authorized official contact:
Name: Roderick, Gregory
Phone: (503) 443-1818

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1780200337
LBN Legal business name Fm Princeton, Llc
DBA Doing business as
Authorized official Roderick, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2020
Last updated Jun 19th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780200337 NPPES
Oregon MEDICAID 527962

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