Gracelen Terrace Managing Company

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1600506066 Issued in OR

Legal business name

GRACELEN TERRACE MANAGING COMPANY

Practice address

6003 SE 136TH Ave
Portland, OR 97236-4567

Phone

(503) 761-1155

Fax

(503) 761-1142

NPI assigned

Jan 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Linda Marie Pickering, LNHA

Title

President

Phone

(503) 760-1727

Specialties & licenses 1

Addresses

Other names 1

• Harrison Manor Long-Term Care Facility Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1023313491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10948 SE BOISE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662202",
            "telephone_number": "503-760-1727",
            "fax_number": "503-762-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 SE 136TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364567",
            "telephone_number": "503-761-1155",
            "fax_number": "503-761-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELEN TERRACE MANAGING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-760-1727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": "1600506066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Manor Long-Term Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Grace, LMT
• Stephani G Grace, LPC
• Terresa Diane Grace, CPM, LM
• Thomas Grace, DC
• Graceful Speech and Swallow Solutions, LLC
• Saige A. Gracie, CADCI
• Casey Grad Granbois
• Kimberly C Grady, PA-C
• Mary Grady, MSW
• Michael Cory Grady, N.D.

• Nursing Facility/Intermediate Care Facility in Portland, OR
• Providers in Portland, OR by specialty
• Nursing Facility/Intermediate Care Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.