NPI Provider: 1386631422
Contact Name: Lassen Lori
Position: Executive Director
Phone: (503) 585-4602
Tierra Rose Care Center Information:
Tierra Rose Care Center organization have npi 1386631422, taxonomy code is 313M00000X with license number is 805788 in . This Business address located in 4254 Weathers St NE, Salem, OR 97301 Oregon. Get directions of Tierra Rose Care Center
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Practice Location
Address: 4254 Weathers St NE, Salem, OR 97301
Phone: (503) 585-4602
Business Location
Address: 4254 Weathers St NE, Salem, OR 97301
Phone: (503) 585-4602
Fax: (503) 585-6002
Taxonomy
Taxonomy Code: 313M00000X
License Number: 805788
License Number of State: OR
Primary Taxonomy Switch: Y
Enumeration Date: 10/4/2005
Map for Tierra Rose Care Center
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