Provider Demographics
NPI:1902133515
Name:SPRING MEADOWS
Entity Type:Organization
Organization Name:SPRING MEADOWS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-397-0401
Mailing Address - Street 1:36070 PITTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-1169
Mailing Address - Country:US
Mailing Address - Phone:503-397-0401
Mailing Address - Fax:503-397-2116
Practice Address - Street 1:36070 PITTSBURG RD
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-1169
Practice Address - Country:US
Practice Address - Phone:503-397-0401
Practice Address - Fax:503-397-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1654090523310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility