Russellville Park

LBN: Russellville Iii Llc
Russellville Park is an health care organization with primary practice located at 23 Se 103Rd Ave , Portland OR 97216. 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. Russellville Iii Llc can be contacted via phone (503) 254-5900, or through Rasar, Rayn via phone (206) 436-7827.

Contact Information

Primary practice address
23 Se 103Rd Ave Portland OR 97216
Phone: (503) 254-5900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rasar, Rayn
Phone: (206) 436-7827

Health care specialties

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

Profile Details

NPI number 1164845921
LBN Legal business name Russellville Iii Llc
DBA Doing business as Russellville Park
Authorized official Rasar, Rayn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2014
Last updated Jan 30th, 2014 - about 10 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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