OrganizationActive
Community Services, Inc.
NPI 1447636071 · Assisted Living Facility (Behavioral Disturbances) · Portland, OR
Provider details
- NPI number
- 1447636071
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lynn Boose, Ceo(503) 648-6415
- License
- DZ0021 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
14215 Nw Science Park Dr
Portland, OR 97229-5416
Phone: (503) 648-6415
Fax: (503) 640-2624
Approximate (ZIP-level) locationGet directions
Mailing address
14215 Nw Science Park Dr
Portland, OR 97229-5416
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2015-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.