CCN: 385265 NPI: 1205827037 Organization

MARY'S WOODS AT MARYLHURST

17360 HOLY NAMES DR
LAKE OSWEGO, OR 970345137

Contact Information

Phone 5036752475
Fax 5036753937
Enumeration Date 2005-11-01
Last Updated 2014-07-24

Taxonomies

Code: 310400000X License State: OR
Code: 311500000X License State: OR
Code: 314000000X (Primary) License State: OR

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 38

vbpAdjustment 1.0001529909

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38900

providerType 38

specialPaymentIndicator

carrierCode 02302

localityCode 01