Provider Demographics
NPI:1942312905
Name:MARQUIS COMPANIES I, INC
Entity Type:Organization
Organization Name:MARQUIS COMPANIES I, INC
Other - Org Name:MARQUIS VERMONT HILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:
Authorized Official - Last Name:TONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-206-5200
Mailing Address - Street 1:6010 SW SHATTUCK RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-1043
Mailing Address - Country:US
Mailing Address - Phone:503-246-8811
Mailing Address - Fax:503-246-9557
Practice Address - Street 1:6010 SW SHATTUCK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-1043
Practice Address - Country:US
Practice Address - Phone:503-246-8811
Practice Address - Fax:503-246-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR800193Medicaid
OR385218Medicare Oscar/Certification
OR385218Medicare Oscar/Certification