Healthcare Provider Details

I. General information

NPI: 1679480586
Provider Name (Legal Business Name): TERWILLIGER PLAZA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SW TERWILLIGER BLVD
PORTLAND OR
97201-6302
US

IV. Provider business mailing address

2545 SW TERWILLIGER BLVD
PORTLAND OR
97201-6302
US

V. Phone/Fax

Practice location:
  • Phone: 503-299-4911
  • Fax: 503-299-4803
Mailing address:
  • Phone: 503-299-4911
  • Fax: 503-299-4803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LAURIE BARBER
Title or Position: DIRECTOR OF ASSISTED LIVING
Credential:
Phone: 503-808-7877