Provider Demographics
NPI:1407432164
Name:COLUMBIA RIVER HEALTHCARE, INC.
Entity Type:Organization
Organization Name:COLUMBIA RIVER HEALTHCARE, INC.
Other - Org Name:THE OAKS AT TIMBERLINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SOON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-540-1249
Mailing Address - Street 1:400 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2238
Mailing Address - Country:US
Mailing Address - Phone:360-696-2561
Mailing Address - Fax:360-737-1833
Practice Address - Street 1:400 E 33RD ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2238
Practice Address - Country:US
Practice Address - Phone:360-696-2561
Practice Address - Fax:360-737-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility